36D0880758 CLIA NUMBER - THIRD STREET FAMILY HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 36D0880758
  • Facility Name: THIRD STREET FAMILY HEALTH SERVICES
  • Facility Address: 600 W THIRD STREET
    MANSFIELD, OH
    ZIP 44906
  • Facility Phone: 419 522-6191
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: SHENG LIU
  • NPI Number: 1629620109
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0880758
LAB Type Federally Qualified Health Center
Facility Name THIRD STREET FAMILY HEALTH SERVICES
Street 600 W THIRD STREET
City MANSFIELD
State OH
ZIP 44906
Phone 419 522-6191
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 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Federally Qualified Health Center
Lab Director SHENG LIU

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