36D0872410 CLIA NUMBER - MIOARA TUDOSIE MD

Laboratory Demographics

  • CLIA Code: 36D0872410
  • Facility Name: MIOARA TUDOSIE MD
  • Facility Address: 2600 TUSCARAWAS STREET WEST SUITE 640
    CANTON, OH
    ZIP 44708
  • Facility Phone: 330 455-1511
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIOARA TUDOSIE MD
  • NPI Number: 1336255884
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0872410
LAB Type Physician Office
Facility Name MIOARA TUDOSIE MD
Street 2600 TUSCARAWAS STREET WEST SUITE 640
City CANTON
State OH
ZIP 44708
Phone 330 455-1511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director MIOARA TUDOSIE MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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