36D0716145 CLIA NUMBER - WOOSTER UROLOGY LLC

Laboratory Demographics

  • CLIA Code: 36D0716145
  • Facility Name: WOOSTER UROLOGY LLC
  • Facility Address: 546 WINTER STREET SUITE 210
    WOOSTER, OH
    ZIP 44691
  • Facility Phone: (330) 345-5533
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERTA HOUGHTON
  • NPI Number: 1710274097
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 36D0716145
LAB Type Physician Office
Facility Name WOOSTER UROLOGY LLC
Street 546 WINTER STREET SUITE 210
City WOOSTER
State OH
ZIP 44691
Phone 3303455533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Physician Office
Lab Director ROBERTA HOUGHTON

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This page was last updated on: 5/18/2026