36D0343579 CLIA NUMBER - JAMES H RUDICK MD FACP FACE

Laboratory Demographics

  • CLIA Code: 36D0343579
  • Facility Name: JAMES H RUDICK MD FACP FACE
  • Facility Address: 4765 HIGBEE AVENUE NW
    CANTON, OH
    ZIP 44718
  • Facility Phone: 330 492-2266
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES H. RUDICK
  • NPI Number: 1417062928
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0343579
LAB Type Physician Office
Facility Name JAMES H RUDICK MD FACP FACE
Street 4765 HIGBEE AVENUE NW
City CANTON
State OH
ZIP 44718
Phone 330 492-2266
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 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director JAMES H. RUDICK

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