36D0351587 CLIA NUMBER - MERCER HEALTH MEDICAL GROUP AT SOUTH OAK

Laboratory Demographics

  • CLIA Code: 36D0351587
  • Facility Name: MERCER HEALTH MEDICAL GROUP AT SOUTH OAK
  • Facility Address: 407 SOUTH OAK ST
    COLDWATER, OH
    ZIP 45828
  • Facility Phone: 419 678-2354
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JONATHAN WINNER
  • NPI Number: 1154323962
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0351587
LAB Type Physician Office
Facility Name MERCER HEALTH MEDICAL GROUP AT SOUTH OAK
Street 407 SOUTH OAK ST
City COLDWATER
State OH
ZIP 45828
Phone 419 678-2354
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 JONATHAN WINNER

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