36D0669605 CLIA NUMBER - GALLIA COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 36D0669605
  • Facility Name: GALLIA COUNTY HEALTH DEPARTMENT
  • Facility Address: 499 JACKSON PIKE SUITE D
    GALLIPOLIS, OH
    ZIP 45631
  • Facility Phone: 740 441-2018
  • Facility Type: Public Health Laboratories
  • Facility Type: Microscopy
  • Lab Director: GLENN FISHER
  • NPI Number: 1629171343
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 36D0669605
LAB Type Public Health Laboratories
Facility Name GALLIA COUNTY HEALTH DEPARTMENT
Street 499 JACKSON PIKE SUITE D
City GALLIPOLIS
State OH
ZIP 45631
Phone 740 441-2018
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 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Public Health Laboratories
Lab Director GLENN FISHER

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