36D0327493 CLIA NUMBER - KNOX COMMUNITY HOSPITAL DEPARTMENT OF PRIMARY CARE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 36D0327493
  • Facility Name: KNOX COMMUNITY HOSPITAL DEPARTMENT OF PRIMARY CARE INTERNAL MEDICINE
  • Facility Address: 1451 YAUGER ROAD SUITE 1F
    MOUNT VERNON, OH
    ZIP 43050
  • Facility Phone: 740 397-8500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS MCKINLEY
  • NPI Number: 1386003796
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 36D0327493
LAB Type Physician Office
Facility Name KNOX COMMUNITY HOSPITAL DEPARTMENT OF PRIMARY CARE INTERNAL MEDICINE
Street 1451 YAUGER ROAD SUITE 1F
City MOUNT VERNON
State OH
ZIP 43050
Phone 740 397-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director THOMAS MCKINLEY

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