36D0720794 CLIA NUMBER - POLAND MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 36D0720794

Facility Name: POLAND MEDICAL CENTER

Facility Address:
6615 CLINGAN ROAD, SUITE C
POLAND, OH
ZIP 44514
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Facility Phone Number: 330 757-7888

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1346338142

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	36D0720794
LAB Type	Physician Office
Facility Name	POLAND MEDICAL CENTER
Street	6615 CLINGAN ROAD, SUITE C
City	POLAND
State	OH
ZIP	44514
Phone	330 757-7888
CertificateType	4
CertificateEffectiveDate	12/28/2022
CertificateExpirationDate	12/27/2024
FacilityType	Waiver

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