36D0987493 CLIA NUMBER - DAVID J CORALLO DO

Laboratory Demographics

  • CLIA Code: 36D0987493
  • Facility Name: DAVID J CORALLO DO
  • Facility Address: 18586 WEST 5TH STREET
    BELOIT, OH
    ZIP 44609
  • Facility Phone: 330 938-3333
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID J. CORALLO DO
  • NPI Number: 1225126212
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0987493
LAB Type Physician Office
Facility Name DAVID J CORALLO DO
Street 18586 WEST 5TH STREET
City BELOIT
State OH
ZIP 44609
Phone 330 938-3333
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 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director DAVID J. CORALLO DO

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