36D0959107 CLIA NUMBER - ANNETTE R MILLIE MD

Laboratory Demographics

  • CLIA Code: 36D0959107
  • Facility Name: ANNETTE R MILLIE MD
  • Facility Address: 831 SOUTH WYNN ROAD
    OREGON, OH
    ZIP 43616
  • Facility Phone: 419 693-0793
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNETTE MILLIE MD
  • NPI Number: 1477160406
  • Taxonomy: 225700000X - Massage Therapist

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CLIA Record

Field Name Field Value
CLIA Number 36D0959107
LAB Type Physician Office
Facility Name ANNETTE R MILLIE MD
Street 831 SOUTH WYNN ROAD
City OREGON
State OH
ZIP 43616
Phone 419 693-0793
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director ANNETTE MILLIE MD

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