36D0902186 CLIA NUMBER - PHYSICIANS PLUS

Laboratory Demographics

  • CLIA Code: 36D0902186
  • Facility Name: PHYSICIANS PLUS
  • Facility Address: 263 MENTOR AVE
    PAINESVILLE, OH
    ZIP 44077
  • Facility Phone: 440 354-5643
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOUIS J. DEMICCO
  • NPI Number: 1528007564
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 36D0902186
LAB Type Physician Office
Facility Name PHYSICIANS PLUS
Street 263 MENTOR AVE
City PAINESVILLE
State OH
ZIP 44077
Phone 440 354-5643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director LOUIS J. DEMICCO

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