36D0341386 CLIA NUMBER - JOSEPH A POTOCKI DO INC

Laboratory Demographics

  • CLIA Code: 36D0341386
  • Facility Name: JOSEPH A POTOCKI DO INC
  • Facility Address: 531 ROBBINS AVENUE
    NILES, OH
    ZIP 44446
  • Facility Phone: 330 544-3431
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH A. POTOCKI DO
  • NPI Number: 1326017880
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0341386
LAB Type Physician Office
Facility Name JOSEPH A POTOCKI DO INC
Street 531 ROBBINS AVENUE
City NILES
State OH
ZIP 44446
Phone 330 544-3431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director JOSEPH A. POTOCKI DO

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