36D0964219 CLIA NUMBER - CHE-FU KUO MD PH D

Laboratory Demographics

  • CLIA Code: 36D0964219
  • Facility Name: CHE-FU KUO MD PH D
  • Facility Address: 400 MATTHEW STREET SUITE 204
    MARIETTA, OH
    ZIP 45750
  • Facility Phone: 740 568-5360
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHE FU KUO MD PHD
  • NPI Number: 1659367068
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0964219
LAB Type Physician Office
Facility Name CHE-FU KUO MD PH D
Street 400 MATTHEW STREET SUITE 204
City MARIETTA
State OH
ZIP 45750
Phone 740 568-5360
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 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Physician Office
Lab Director CHE FU KUO MD PHD

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