36D0923387 CLIA NUMBER - PROMEDICA HEALTH AND WELLNESS CENTER (LAB DRAW SITES)

Laboratory Demographics

  • CLIA Code: 36D0923387
  • Facility Name: PROMEDICA HEALTH AND WELLNESS CENTER (LAB DRAW SITES)
  • Facility Address: 5700 MONROE ST, SUITE 110
    SYLVANIA, OH
    ZIP 43560
  • Facility Phone: 567 585-0035
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FRANCIS MICHAEL P. WALSH
  • NPI Number: 1285172163
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 36D0923387
LAB Type Physician Office
Facility Name PROMEDICA HEALTH AND WELLNESS CENTER (LAB DRAW SITES)
Street 5700 MONROE ST, SUITE 110
City SYLVANIA
State OH
ZIP 43560
Phone 567 585-0035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director DR. FRANCIS MICHAEL P. WALSH

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