36D0918204 CLIA NUMBER - GALION COMMUNITY HOSPITAL HEALTH SERVICES

Laboratory Demographics

CLIA Number: 36D0918204

Facility Name: GALION COMMUNITY HOSPITAL HEALTH SERVICES

Facility Address:
SELTZER STATION MEDICAL BUILDING SUITE 3
CRESTLINE, OH
ZIP 44827
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Facility Phone Number: 419 468-0499

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1689806887

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D0918204
LAB Type	Physician Office
Facility Name	GALION COMMUNITY HOSPITAL HEALTH SERVICES
Street	SELTZER STATION MEDICAL BUILDING SUITE 3
City	CRESTLINE
State	OH
ZIP	44827
Phone	419 468-0499
CertificateType	3
CertificateEffectiveDate	8/2/2022
CertificateExpirationDate	8/1/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024