36D0342261 CLIA NUMBER - MERCY HEALTH CANFIELD PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 36D0342261
  • Facility Name: MERCY HEALTH CANFIELD PRIMARY CARE
  • Facility Address: 3660 STUTZ DRIVE, SUITE 102
    CANFIELD, OH
    ZIP 44406
  • Facility Phone: 330 702-1585
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRITTANY BOBOVNYIK
  • NPI Number: 1700492170
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0342261
LAB Type Physician Office
Facility Name MERCY HEALTH CANFIELD PRIMARY CARE
Street 3660 STUTZ DRIVE, SUITE 102
City CANFIELD
State OH
ZIP 44406
Phone 330 702-1585
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 BRITTANY BOBOVNYIK

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