36D0690805 CLIA NUMBER - FISHER-TITUS BELLEVUE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 36D0690805
  • Facility Name: FISHER-TITUS BELLEVUE HEALTH CENTER
  • Facility Address: 521 N SANDUSKY STREET, SUITE A
    BELLEVUE, OH
    ZIP 44811
  • Facility Phone: 419 483-6267
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL E. ROSS
  • NPI Number: 1417919374
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 36D0690805
LAB Type Physician Office
Facility Name FISHER-TITUS BELLEVUE HEALTH CENTER
Street 521 N SANDUSKY STREET, SUITE A
City BELLEVUE
State OH
ZIP 44811
Phone 419 483-6267
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director SAMUEL E. ROSS

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