36D0351762 CLIA NUMBER - MARIA STEIN FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 36D0351762

Facility Name: MARIA STEIN FAMILY PRACTICE

Facility Address:
8381 STATE ROUTE 119
MARIA STEIN, OH
ZIP 45860
Get Directions

Facility Phone Number: 419 628-3821

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326119975

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	36D0351762
LAB Type	Physician Office
Facility Name	MARIA STEIN FAMILY PRACTICE
Street	8381 STATE ROUTE 119
City	MARIA STEIN
State	OH
ZIP	45860
Phone	419 628-3821
CertificateType	4
CertificateEffectiveDate	9/1/2023
CertificateExpirationDate	8/31/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024