36D0344382 CLIA NUMBER - TIFFIN PEDIATRICS ASSOCIATES

Laboratory Demographics

  • CLIA Code: 36D0344382
  • Facility Name: TIFFIN PEDIATRICS ASSOCIATES
  • Facility Address: 455 W MARKET ST
    TIFFIN, OH
    ZIP 44883
  • Facility Phone: 419 448-8118
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PRASAD C. KAKARALA
  • NPI Number: 1033296694
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D0344382
LAB Type Physician Office
Facility Name TIFFIN PEDIATRICS ASSOCIATES
Street 455 W MARKET ST
City TIFFIN
State OH
ZIP 44883
Phone 419 448-8118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Physician Office
Lab Director DR. PRASAD C. KAKARALA

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