36D0687279 CLIA NUMBER - MERCY HEALTH BRANDYWINE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 36D0687279
  • Facility Name: MERCY HEALTH BRANDYWINE PRIMARY CARE
  • Facility Address: 2959 CANFIELD ROAD, SUITE 8
    YOUNGSTOWN, OH
    ZIP 44511
  • Facility Phone: 330 797-0222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID RICH
  • NPI Number: 1396732426
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0687279
LAB Type Physician Office
Facility Name MERCY HEALTH BRANDYWINE PRIMARY CARE
Street 2959 CANFIELD ROAD, SUITE 8
City YOUNGSTOWN
State OH
ZIP 44511
Phone 330 797-0222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Physician Office
Lab Director DAVID RICH

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