36D0988565 CLIA NUMBER - NORTHERN OHIO MEDICAL SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 36D0988565
  • Facility Name: NORTHERN OHIO MEDICAL SPECIALISTS, LLC
  • Facility Address: 225 EAST MAIN STREET
    LOGAN, OH
    ZIP 43138
  • Facility Phone: 740 380-9537
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SCOTT J. ANZALONE MD
  • NPI Number: 1275544579
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0988565
LAB Type Physician Office
Facility Name NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Street 225 EAST MAIN STREET
City LOGAN
State OH
ZIP 43138
Phone 740 380-9537
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 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Physician Office
Lab Director DR. SCOTT J. ANZALONE MD

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