36D0931416 CLIA NUMBER - WAYNE TOWNSHIP BOARD OF TRUSTEES

Laboratory Demographics

  • CLIA Code: 36D0931416
  • Facility Name: WAYNE TOWNSHIP BOARD OF TRUSTEES
  • Facility Address: 6320 STATE ROUTE 133
    GOSHEN, OH
    ZIP 45122
  • Facility Phone: 513 625-8124
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARK G. GREATOREX
  • NPI Number: 1689663726
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D0931416
LAB Type Ambulance
Facility Name WAYNE TOWNSHIP BOARD OF TRUSTEES
Street 6320 STATE ROUTE 133
City GOSHEN
State OH
ZIP 45122
Phone 513 625-8124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2023
Certificate Expiration Date 7/28/2025
Facility Type Ambulance
Lab Director MARK G. GREATOREX

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This page was last updated on: 3/20/2025