36D0669289 CLIA NUMBER - POLAND MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 36D0669289
  • Facility Name: POLAND MEDICAL CENTER
  • Facility Address: 6615 CLINGAN ROAD SUITE A
    POLAND, OH
    ZIP 44514
  • Facility Phone: 330 757-7211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL B. EVAN MD
  • NPI Number: 1346338142
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0669289
LAB Type Physician Office
Facility Name POLAND MEDICAL CENTER
Street 6615 CLINGAN ROAD SUITE A
City POLAND
State OH
ZIP 44514
Phone 330 757-7211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director MICHAEL B. EVAN MD

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