36D0977507 CLIA NUMBER - NOVUS CLINIC

Laboratory Demographics

  • CLIA Code: 36D0977507
  • Facility Name: NOVUS CLINIC
  • Facility Address: 518 WEST AVENUE
    TALLMADGE, OH
    ZIP 44278
  • Facility Phone: 330 630-9699
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAMES L. JOHNSTON JR
  • NPI Number: 1194840553
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 36D0977507
LAB Type Ambulatory Surgery Center
Facility Name NOVUS CLINIC
Street 518 WEST AVENUE
City TALLMADGE
State OH
ZIP 44278
Phone 330 630-9699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Ambulatory Surgery Center
Lab Director JAMES L. JOHNSTON JR

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