36D0918204 CLIA NUMBER - GALION COMMUNITY HOSPITAL HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 36D0918204
  • Facility Name: GALION COMMUNITY HOSPITAL HEALTH SERVICES
  • Facility Address: SELTZER STATION MEDICAL BUILDING SUITE 3
    CRESTLINE, OH
    ZIP 44827
  • Facility Phone: 419 468-0499
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANDREW J. LEE MD
  • NPI Number: 1689806887
  • Taxonomy: 261QR1300X - Clinic/Center

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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
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 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director ANDREW J. LEE MD

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