36D0684390 CLIA NUMBER - ATRIUM OB GYN INC

Laboratory Demographics

  • CLIA Code: 36D0684390
  • Facility Name: ATRIUM OB GYN INC
  • Facility Address: 4151 HOLIDAY STREET NW
    CANTON, OH
    ZIP 44718
  • Facility Phone: 330 492-8001
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BREEZE M. GOODRICH
  • NPI Number: 1073509881
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 36D0684390
LAB Type Physician Office
Facility Name ATRIUM OB GYN INC
Street 4151 HOLIDAY STREET NW
City CANTON
State OH
ZIP 44718
Phone 330 492-8001
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 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director BREEZE M. GOODRICH

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