36D0699229 CLIA NUMBER - UNION HOSPITAL

Laboratory Demographics

CLIA Number: 36D0699229

Facility Name: UNION HOSPITAL

Facility Address:
659 BOULEVARD STREET ATTN SHERRY COLE, ADMINISTRATION
DOVER, OH
ZIP 44622
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Facility Phone Number: 330 343-3311

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1871606921

Taxonomy: 282NR1301X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	36D0699229
LAB Type	Hospital
Facility Name	UNION HOSPITAL
Street	659 BOULEVARD STREET ATTN SHERRY COLE, ADMINISTRATION
City	DOVER
State	OH
ZIP	44622
Phone	330 343-3311
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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