36D0665889 CLIA NUMBER - AULTMAN HOSPITAL DEPT OF PATHOLOGY

Laboratory Demographics

  • CLIA Code: 36D0665889
  • Facility Name: AULTMAN HOSPITAL DEPT OF PATHOLOGY
  • Facility Address: 2600 SIXTH STREET SW - LABORATORY
    CANTON, OH
    ZIP 44710
  • Facility Phone: 330 452-9911
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. DANIEL A. WASDAHL
  • NPI Number: 1417972050
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 36D0665889
LAB Type Hospital
Facility Name AULTMAN HOSPITAL DEPT OF PATHOLOGY
Street 2600 SIXTH STREET SW - LABORATORY
City CANTON
State OH
ZIP 44710
Phone 330 452-9911
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. DANIEL A. WASDAHL

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