36D0343407 CLIA NUMBER - STARK PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 36D0343407
  • Facility Name: STARK PEDIATRICS INC
  • Facility Address: 3030 TUSCARAWAS ST W, STE 300
    CANTON, OH
    ZIP 44708
  • Facility Phone: 330 452-6109
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ASIF YOUNUS MD
  • NPI Number: 1619299559
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D0343407
LAB Type Physician Office
Facility Name STARK PEDIATRICS INC
Street 3030 TUSCARAWAS ST W, STE 300
City CANTON
State OH
ZIP 44708
Phone 330 452-6109
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director ASIF YOUNUS MD

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