36D0341808 CLIA NUMBER - DAVID N FREDERICKA MD FACC CARDIAC MANAGEMENT INC

Laboratory Demographics

  • CLIA Code: 36D0341808
  • Facility Name: DAVID N FREDERICKA MD FACC CARDIAC MANAGEMENT INC
  • Facility Address: 1753 EAST MARKET STREET SUITE 1
    WARREN, OH
    ZIP 44483
  • Facility Phone: 330 373-6903
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID N. FREDERICKA MD
  • NPI Number: 1578606893
  • Taxonomy: 207RC0000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0341808
LAB Type Physician Office
Facility Name DAVID N FREDERICKA MD FACC CARDIAC MANAGEMENT INC
Street 1753 EAST MARKET STREET SUITE 1
City WARREN
State OH
ZIP 44483
Phone 330 373-6903
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DAVID N. FREDERICKA MD

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