36D0965683 CLIA NUMBER - BUCYRUS INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 36D0965683
  • Facility Name: BUCYRUS INTERNAL MEDICINE
  • Facility Address: 510 HILL STREET
    BUCYRUS, OH
    ZIP 44820
  • Facility Phone: 419 562-9834
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROY W. HARRIS DO
  • NPI Number: 1538356357
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0965683
LAB Type Physician Office
Facility Name BUCYRUS INTERNAL MEDICINE
Street 510 HILL STREET
City BUCYRUS
State OH
ZIP 44820
Phone 419 562-9834
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director ROY W. HARRIS DO

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