36D0327482 CLIA NUMBER - OGLE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 36D0327482
  • Facility Name: OGLE FAMILY PRACTICE
  • Facility Address: 206 SOUTH MULBERRY STREET
    MOUNT VERNON, OH
    ZIP 43050
  • Facility Phone: 740 397-3553
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRENT B. OGLE
  • NPI Number: 1215063631
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0327482
LAB Type Physician Office
Facility Name OGLE FAMILY PRACTICE
Street 206 SOUTH MULBERRY STREET
City MOUNT VERNON
State OH
ZIP 43050
Phone 740 397-3553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Physician Office
Lab Director BRENT B. OGLE

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This page was last updated on: 9/29/2025