36D0339480 CLIA NUMBER - PIONEER PHYSICIANS NETWORK LABORATORY

Laboratory Demographics

  • CLIA Code: 36D0339480
  • Facility Name: PIONEER PHYSICIANS NETWORK LABORATORY
  • Facility Address: 65 COMMUNITY ROAD SUITE A
    TALLMADGE, OH
    ZIP 44278
  • Facility Phone: 330 633-7064
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: SUSAN TUCKER
  • NPI Number: 1801815477
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0339480
LAB Type Physician Office
Facility Name PIONEER PHYSICIANS NETWORK LABORATORY
Street 65 COMMUNITY ROAD SUITE A
City TALLMADGE
State OH
ZIP 44278
Phone 330 633-7064
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director SUSAN TUCKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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