36D0935789 CLIA NUMBER - OHIOHEALTH MANSFIELD ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 36D0935789
  • Facility Name: OHIOHEALTH MANSFIELD ENDOCRINOLOGY
  • Facility Address: 335 GLESSNER AVENUE
    MANSFIELD, OH
    ZIP 44903
  • Facility Phone: 419 522-2734
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HUSSEIN ADLY
  • NPI Number: 1497159990
  • Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 36D0935789
LAB Type Physician Office
Facility Name OHIOHEALTH MANSFIELD ENDOCRINOLOGY
Street 335 GLESSNER AVENUE
City MANSFIELD
State OH
ZIP 44903
Phone 419 522-2734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director HUSSEIN ADLY

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