36D0692857 CLIA NUMBER - LOGAN HOCKING COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 36D0692857
  • Facility Name: LOGAN HOCKING COUNTY HEALTH DEPARTMENT
  • Facility Address: 350 ST RT 664N
    LOGAN, OH
    ZIP 43138
  • Facility Phone: 740 385-3030
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DOUGLAS B. CARR
  • NPI Number: 1376703983
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 36D0692857
LAB Type Rural Health Clinic
Facility Name LOGAN HOCKING COUNTY HEALTH DEPARTMENT
Street 350 ST RT 664N
City LOGAN
State OH
ZIP 43138
Phone 740 385-3030
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 Rural Health Clinic
Lab Director DOUGLAS B. CARR

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