36D0897261 CLIA NUMBER - PROMEDICA PHYSICIANS INTERNAL MEDICINE/FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 36D0897261
  • Facility Name: PROMEDICA PHYSICIANS INTERNAL MEDICINE/FAMILY MEDICINE
  • Facility Address: 455 WEST MCPHERSON HIGHWAY
    CLYDE, OH
    ZIP 43410
  • Facility Phone: 419 547-8555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN L. YUHAS
  • NPI Number: 1033250360
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0897261
LAB Type Physician Office
Facility Name PROMEDICA PHYSICIANS INTERNAL MEDICINE/FAMILY MEDICINE
Street 455 WEST MCPHERSON HIGHWAY
City CLYDE
State OH
ZIP 43410
Phone 419 547-8555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOHN L. YUHAS

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