36D0701108 CLIA NUMBER - FREDERICKTOWN, DOPC KNOX COMMUNITY HOSPITAL

Laboratory Demographics

  • CLIA Code: 36D0701108
  • Facility Name: FREDERICKTOWN, DOPC KNOX COMMUNITY HOSPITAL
  • Facility Address: 16361 VILLAGE PARKWAY
    FREDERICKTOWN, OH
    ZIP 43019
  • Facility Phone: 740 399-3863
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AMBER L. DAUGHERTY
  • NPI Number: 1235336835
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 36D0701108
LAB Type Physician Office
Facility Name FREDERICKTOWN, DOPC KNOX COMMUNITY HOSPITAL
Street 16361 VILLAGE PARKWAY
City FREDERICKTOWN
State OH
ZIP 43019
Phone 740 399-3863
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director AMBER L. DAUGHERTY

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