36D0328315 CLIA NUMBER - HOOVER ROAD FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 36D0328315
  • Facility Name: HOOVER ROAD FAMILY PRACTICE
  • Facility Address: 4151 HOOVER ROAD
    GROVE CITY, OH
    ZIP 43123
  • Facility Phone: (614) 875-3152
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHARLES S. HIRTH MD
  • NPI Number: 1003015868
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0328315
LAB Type Physician Office
Facility Name HOOVER ROAD FAMILY PRACTICE
Street 4151 HOOVER ROAD
City GROVE CITY
State OH
ZIP 43123
Phone 6148753152
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director CHARLES S. HIRTH MD

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This page was last updated on: 5/18/2026