36D0676786 CLIA NUMBER - WEST MEDICAL

Laboratory Demographics

  • CLIA Code: 36D0676786
  • Facility Name: WEST MEDICAL
  • Facility Address: 2037 WALES AVE NW SUITE 130
    MASSILLON, OH
    ZIP 44646
  • Facility Phone: 216 830-9378
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN C. WESTERBECK
  • NPI Number: 1326077512
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0676786
LAB Type Physician Office
Facility Name WEST MEDICAL
Street 2037 WALES AVE NW SUITE 130
City MASSILLON
State OH
ZIP 44646
Phone 216 830-9378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOHN C. WESTERBECK

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This page was last updated on: 3/20/2025