36D0344291 CLIA NUMBER - UHMP SANDUSKY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 36D0344291
  • Facility Name: UHMP SANDUSKY PEDIATRICS
  • Facility Address: 2520 COLUMBUS AVE SUITE E
    SANDUSKY, OH
    ZIP 44870
  • Facility Phone: 216 337-3822
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY VACCA
  • NPI Number: 1164553657
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D0344291
LAB Type Physician Office
Facility Name UHMP SANDUSKY PEDIATRICS
Street 2520 COLUMBUS AVE SUITE E
City SANDUSKY
State OH
ZIP 44870
Phone 216 337-3822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Physician Office
Lab Director KIMBERLY VACCA

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