36D0351946 CLIA NUMBER - AUGLAIZE FAMILY PRACTICE CENTER

Laboratory Demographics

  • CLIA Code: 36D0351946
  • Facility Name: AUGLAIZE FAMILY PRACTICE CENTER
  • Facility Address: 1007 W AUGLAIZE ST PO BOX 359
    WAPAKONETA, OH
    ZIP 45895
  • Facility Phone: 419 738-9601
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PARMIE HERMAN
  • NPI Number: 1588654230
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0351946
LAB Type Physician Office
Facility Name AUGLAIZE FAMILY PRACTICE CENTER
Street 1007 W AUGLAIZE ST PO BOX 359
City WAPAKONETA
State OH
ZIP 45895
Phone 419 738-9601
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 PARMIE HERMAN

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