36D0880286 CLIA NUMBER - VALLEY HEALTH COAL GROVE

Laboratory Demographics

  • CLIA Code: 36D0880286
  • Facility Name: VALLEY HEALTH COAL GROVE
  • Facility Address: 205 MARION PIKE
    COAL GROVE, OH
    ZIP 45638
  • Facility Phone: 740 532-1188
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JOSEPH DEROSA
  • NPI Number: 1548539315
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D0880286
LAB Type Federally Qualified Health Center
Facility Name VALLEY HEALTH COAL GROVE
Street 205 MARION PIKE
City COAL GROVE
State OH
ZIP 45638
Phone 740 532-1188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Federally Qualified Health Center
Lab Director JOSEPH DEROSA

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