36D0671895 CLIA NUMBER - MERCY HEALTH MINERAL RIDGE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 36D0671895
  • Facility Name: MERCY HEALTH MINERAL RIDGE PRIMARY CARE
  • Facility Address: 1360 N CANFIELD-NILES RD
    MINERAL RIDGE, OH
    ZIP 44440
  • Facility Phone: 330 652-6556
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD L. CATTERLIN
  • NPI Number: 1477548501
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0671895
LAB Type Physician Office
Facility Name MERCY HEALTH MINERAL RIDGE PRIMARY CARE
Street 1360 N CANFIELD-NILES RD
City MINERAL RIDGE
State OH
ZIP 44440
Phone 330 652-6556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Physician Office
Lab Director RICHARD L. CATTERLIN

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