36D0708093 CLIA NUMBER - ARLINGTON FAMILY PRACTICE INC

Laboratory Demographics

CLIA Number: 36D0708093

Facility Name: ARLINGTON FAMILY PRACTICE INC

Facility Address:
906 N MAIN STREET P O BOX 319
ARLINGTON, OH
ZIP 45814
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Facility Phone Number: 419 365-5153

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629275003

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D0708093
LAB Type	Physician Office
Facility Name	ARLINGTON FAMILY PRACTICE INC
Street	906 N MAIN STREET P O BOX 319
City	ARLINGTON
State	OH
ZIP	45814
Phone	419 365-5153
CertificateType	4
CertificateEffectiveDate	11/26/2022
CertificateExpirationDate	11/25/2024
FacilityType	Waiver

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