36D0961809 CLIA NUMBER - GENESIS OB/GYN GROUP - TUSCARAWAS

Laboratory Demographics

  • CLIA Code: 36D0961809
  • Facility Name: GENESIS OB/GYN GROUP - TUSCARAWAS
  • Facility Address: 1417 KADERLY ST NW, SUITE A
    NEW PHILADELPHIA, OH
    ZIP 44663
  • Facility Phone: 330 602-5678
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WALTER W. RANDOLPH
  • NPI Number: 1992700520
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0961809
LAB Type Physician Office
Facility Name GENESIS OB/GYN GROUP - TUSCARAWAS
Street 1417 KADERLY ST NW, SUITE A
City NEW PHILADELPHIA
State OH
ZIP 44663
Phone 330 602-5678
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 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Physician Office
Lab Director WALTER W. RANDOLPH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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