36D0672229 CLIA NUMBER - CANTON CITY HEALTH DEPARTMENT 1ST FLOOR ROOMS H112-H118

Laboratory Demographics

CLIA Number: 36D0672229

Facility Name: CANTON CITY HEALTH DEPARTMENT 1ST FLOOR ROOMS H112-H118

Facility Address:
420 MARKET AVE N
CANTON, OH
ZIP 44702
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Facility Phone Number: 330 438-4671

Facility Type: Public Health Laboratories

Certificate Type: Certificate of Compliance

NPI Number: 1508276171

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 36D0672229
LAB Type Public Health Laboratories
Facility Name CANTON CITY HEALTH DEPARTMENT 1ST FLOOR ROOMS H112-H118
Street 420 MARKET AVE N
City CANTON
State OH
ZIP 44702
Phone 330 438-4671
CertificateType 2
CertificateEffectiveDate 12/13/2022
CertificateExpirationDate 12/12/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024