36D0330651 CLIA NUMBER - MARION OB-GYN INC

Laboratory Demographics

  • CLIA Code: 36D0330651
  • Facility Name: MARION OB-GYN INC
  • Facility Address: 1140 INDEPENDENCE AVE
    MARION, OH
    ZIP 43302
  • Facility Phone: (740) 387-2244
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID W. FOULK
  • NPI Number: 1710053061
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D0330651
LAB Type Physician Office
Facility Name MARION OB-GYN INC
Street 1140 INDEPENDENCE AVE
City MARION
State OH
ZIP 43302
Phone 7403872244
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 DAVID W. FOULK

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