36D0342017 CLIA NUMBER - BRUCE WILLNER DO

Laboratory Demographics

  • CLIA Code: 36D0342017
  • Facility Name: BRUCE WILLNER DO
  • Facility Address: 3622 BELMONT AVE SUITE 18
    YOUNGSTOWN, OH
    ZIP 44505
  • Facility Phone: 216 759-8050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE D. WILLNER DO
  • NPI Number: 1730664558
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0342017
LAB Type Physician Office
Facility Name BRUCE WILLNER DO
Street 3622 BELMONT AVE SUITE 18
City YOUNGSTOWN
State OH
ZIP 44505
Phone 216 759-8050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director BRUCE D. WILLNER DO

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