36D0341278 CLIA NUMBER - JAY LUGIBIHL DO

Laboratory Demographics

  • CLIA Code: 36D0341278
  • Facility Name: JAY LUGIBIHL DO
  • Facility Address: 29627 STATE ROUTE 30
    HANOVERTON, OH
    ZIP 44423
  • Facility Phone: 330 223-1547
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAY R. LUGIBIHL
  • NPI Number: 1295764280
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0341278
LAB Type Physician Office
Facility Name JAY LUGIBIHL DO
Street 29627 STATE ROUTE 30
City HANOVERTON
State OH
ZIP 44423
Phone 330 223-1547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director JAY R. LUGIBIHL

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