36D0974387 CLIA NUMBER - ASHTABULA CITY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 36D0974387
  • Facility Name: ASHTABULA CITY HEALTH DEPARTMENT
  • Facility Address: 4239 LAKE AVENUE
    ASHTABULA, OH
    ZIP 44004
  • Facility Phone: 440 992-7123
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ADEOLA FAKOLADE
  • NPI Number: 1093266777
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0974387
LAB Type Other
Facility Name ASHTABULA CITY HEALTH DEPARTMENT
Street 4239 LAKE AVENUE
City ASHTABULA
State OH
ZIP 44004
Phone 440 992-7123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Other
Lab Director ADEOLA FAKOLADE

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