36D0926206 CLIA NUMBER - ALEXSANDRA M MAMONIS MD

Laboratory Demographics

  • CLIA Code: 36D0926206
  • Facility Name: ALEXSANDRA M MAMONIS MD
  • Facility Address: 1700 BOETTLER ROAD SUITE 125
    UNIONTOWN, OH
    ZIP 44685
  • Facility Phone: 330 896-9099
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALEXSANDRA M. MAMONIS MD
  • NPI Number: 1447213889
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0926206
LAB Type Physician Office
Facility Name ALEXSANDRA M MAMONIS MD
Street 1700 BOETTLER ROAD SUITE 125
City UNIONTOWN
State OH
ZIP 44685
Phone 330 896-9099
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 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director ALEXSANDRA M. MAMONIS MD

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