36D0717323 CLIA NUMBER - RS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 36D0717323
  • Facility Name: RS MEDICAL GROUP
  • Facility Address: 128 N LOCUST ST STE B
    OAK HARBOR, OH
    ZIP 43449
  • Facility Phone: 419 862-2916
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHIVAPRASAD K. SHETTY
  • NPI Number: 1124220579
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0717323
LAB Type Physician Office
Facility Name RS MEDICAL GROUP
Street 128 N LOCUST ST STE B
City OAK HARBOR
State OH
ZIP 43449
Phone 419 862-2916
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 Physician Office
Lab Director SHIVAPRASAD K. SHETTY

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