36D0344084 CLIA NUMBER - COMMUNITY HEALTH ASSOCIATES FERESHTE KHAVARI MD

Laboratory Demographics

  • CLIA Code: 36D0344084
  • Facility Name: COMMUNITY HEALTH ASSOCIATES FERESHTE KHAVARI MD
  • Facility Address: 120 WEST MAIN STREET
    NEW WASHINGTON, OH
    ZIP 44854
  • Facility Phone: 419 492-2200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FERESHTE KHAVARI MD
  • NPI Number: 1598077513
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0344084
LAB Type Physician Office
Facility Name COMMUNITY HEALTH ASSOCIATES FERESHTE KHAVARI MD
Street 120 WEST MAIN STREET
City NEW WASHINGTON
State OH
ZIP 44854
Phone 419 492-2200
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director FERESHTE KHAVARI MD

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