36D0344512 CLIA NUMBER - MEDICAL ARTS INTERNISTS INC

Laboratory Demographics

  • CLIA Code: 36D0344512
  • Facility Name: MEDICAL ARTS INTERNISTS INC
  • Facility Address: 480 GLESSNER AVENUE
    MANSFIELD, OH
    ZIP 44903
  • Facility Phone: 419 522-3372
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NYAN WIN
  • NPI Number: 1962697292
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 36D0344512
LAB Type Physician Office
Facility Name MEDICAL ARTS INTERNISTS INC
Street 480 GLESSNER AVENUE
City MANSFIELD
State OH
ZIP 44903
Phone 419 522-3372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Physician Office
Lab Director NYAN WIN

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