36D0343705 CLIA NUMBER - CANTON PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 36D0343705
  • Facility Name: CANTON PEDIATRICS INC
  • Facility Address: 4900 FRANK ROAD NORTH WEST
    NORTH CANTON, OH
    ZIP 44720
  • Facility Phone: 330 494-9797
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUDHEER SHIRALI
  • NPI Number: 1255436119
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D0343705
LAB Type Physician Office
Facility Name CANTON PEDIATRICS INC
Street 4900 FRANK ROAD NORTH WEST
City NORTH CANTON
State OH
ZIP 44720
Phone 330 494-9797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Physician Office
Lab Director SUDHEER SHIRALI

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