36D0723282 CLIA NUMBER - ASHLAND UNIVERSITY STUDENT HEALTH CTR

Laboratory Demographics

  • CLIA Code: 36D0723282
  • Facility Name: ASHLAND UNIVERSITY STUDENT HEALTH CTR
  • Facility Address: 401 COLLEGE AVENUE, 1ST FL HAWKINS CONRAD STUDENT CTR
    ASHLAND, OH
    ZIP 44805
  • Facility Phone: 419 289-5200
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: MARIO O. BRUNICARDI
  • NPI Number: 1114300746
  • Taxonomy: 2255A2300X - Specialist/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 36D0723282
LAB Type School/Student Health Service
Facility Name ASHLAND UNIVERSITY STUDENT HEALTH CTR
Street 401 COLLEGE AVENUE, 1ST FL HAWKINS CONRAD STUDENT CTR
City ASHLAND
State OH
ZIP 44805
Phone 419 289-5200
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type School/Student Health Service
Lab Director MARIO O. BRUNICARDI

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