36D0953771 CLIA NUMBER - PETER M DEVITO MD INC

Laboratory Demographics

  • CLIA Code: 36D0953771
  • Facility Name: PETER M DEVITO MD INC
  • Facility Address: 7600 SOUTHERN BLVD SUITE 2
    YOUNGSTOWN, OH
    ZIP 44512
  • Facility Phone: 330 758-3985
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER M. DEVITO MD
  • NPI Number: 1679549620
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 36D0953771
LAB Type Physician Office
Facility Name PETER M DEVITO MD INC
Street 7600 SOUTHERN BLVD SUITE 2
City YOUNGSTOWN
State OH
ZIP 44512
Phone 330 758-3985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Physician Office
Lab Director PETER M. DEVITO MD

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