36D0351207 CLIA NUMBER - FREDERIC A HUMPHREY DO

Laboratory Demographics

  • CLIA Code: 36D0351207
  • Facility Name: FREDERIC A HUMPHREY DO
  • Facility Address: 4727 STATE ROUTE 60
    MARIETTA, OH
    ZIP 45750
  • Facility Phone: 740 374-4590
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FREDERIC A. HUMPHREY
  • NPI Number: 1366438848
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0351207
LAB Type Physician Office
Facility Name FREDERIC A HUMPHREY DO
Street 4727 STATE ROUTE 60
City MARIETTA
State OH
ZIP 45750
Phone 740 374-4590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Physician Office
Lab Director FREDERIC A. HUMPHREY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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