36D0724389 CLIA NUMBER - SOUTHWOODS PHYSICIAN SERVICES

Laboratory Demographics

  • CLIA Code: 36D0724389
  • Facility Name: SOUTHWOODS PHYSICIAN SERVICES
  • Facility Address: 7600 SOUTHERN BLVD
    YOUNGSTOWN, OH
    ZIP 44512
  • Facility Phone: 330 758-9787
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD G. NORD
  • NPI Number: 1588925457
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 36D0724389
LAB Type Physician Office
Facility Name SOUTHWOODS PHYSICIAN SERVICES
Street 7600 SOUTHERN BLVD
City YOUNGSTOWN
State OH
ZIP 44512
Phone 330 758-9787
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 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Physician Office
Lab Director RICHARD G. NORD

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