36D0343601 CLIA NUMBER - CHILDREN'S PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 36D0343601
  • Facility Name: CHILDREN'S PHYSICIANS INC
  • Facility Address: 4575 EVERHARD RD NW
    CANTON, OH
    ZIP 44718
  • Facility Phone: 330 494-5600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER KUNGLE MD
  • NPI Number: 1417038134
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D0343601
LAB Type Physician Office
Facility Name CHILDREN'S PHYSICIANS INC
Street 4575 EVERHARD RD NW
City CANTON
State OH
ZIP 44718
Phone 330 494-5600
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 JENNIFER KUNGLE MD

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