36D0340079 CLIA NUMBER - MEDINA COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 36D0340079

Facility Name: MEDINA COUNTY HEALTH DEPARTMENT

Facility Address:
4800 LEDGEWOOD DRIVE
MEDINA, OH
ZIP 44256
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Facility Phone Number: 330 662-0445

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Microscopy

NPI Number: 1316586670

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D0340079
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	MEDINA COUNTY HEALTH DEPARTMENT
Street	4800 LEDGEWOOD DRIVE
City	MEDINA
State	OH
ZIP	44256
Phone	330 662-0445
CertificateType	3
CertificateEffectiveDate	1/9/2023
CertificateExpirationDate	1/8/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024