36D0331022 CLIA NUMBER - MEMORIAL HOSPITAL LAB DBA PROMEDICA MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 36D0331022
  • Facility Name: MEMORIAL HOSPITAL LAB DBA PROMEDICA MEMORIAL HOSPITAL
  • Facility Address: 715 SOUTH TAFT AVENUE, FIRST FLOOR
    FREMONT, OH
    ZIP 43420
  • Facility Phone: 419 333-6410
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. FRANCIS M. WALSH
  • NPI Number: 1720026743
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D0331022
LAB Type Hospital
Facility Name MEMORIAL HOSPITAL LAB DBA PROMEDICA MEMORIAL HOSPITAL
Street 715 SOUTH TAFT AVENUE, FIRST FLOOR
City FREMONT
State OH
ZIP 43420
Phone 419 333-6410
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. FRANCIS M. WALSH

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