36D0684390 CLIA NUMBER - ATRIUM OB GYN INC

Laboratory Demographics

CLIA Number: 36D0684390

Facility Name: ATRIUM OB GYN INC

Facility Address:
4151 HOLIDAY STREET NW
CANTON, OH
ZIP 44718
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Facility Phone Number: 330 492-8001

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1073509881

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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
CertificateType	3
CertificateEffectiveDate	10/26/2022
CertificateExpirationDate	10/25/2024
FacilityType	PPMP

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