36D0343695 CLIA NUMBER - STARK COUNTY MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 36D0343695

Facility Name: STARK COUNTY MEDICAL GROUP INC

Facility Address:
4810 MUNSON STREET
CANTON, OH
ZIP 44718
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Facility Phone Number: 330 499-3377

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174610398

Taxonomy: 173000000X - Legal Medicine
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

CLIA Record

Field Name	Field Value
CLIA Number	36D0343695
LAB Type	Physician Office
Facility Name	STARK COUNTY MEDICAL GROUP INC
Street	4810 MUNSON STREET
City	CANTON
State	OH
ZIP	44718
Phone	330 499-3377
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024