36D0342397 CLIA NUMBER - THOMAS S BURKERT MD

Laboratory Demographics

  • CLIA Code: 36D0342397
  • Facility Name: THOMAS S BURKERT MD
  • Facility Address: 205 SOUTH MAIN STREET PO BOX 5160
    POLAND, OH
    ZIP 44514
  • Facility Phone: 330 757-8941
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS S. BURKERT MD
  • NPI Number: 1265493845
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0342397
LAB Type Physician Office
Facility Name THOMAS S BURKERT MD
Street 205 SOUTH MAIN STREET PO BOX 5160
City POLAND
State OH
ZIP 44514
Phone 330 757-8941
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 THOMAS S. BURKERT MD

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