36D0992662 CLIA NUMBER - SHELBY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 36D0992662
  • Facility Name: SHELBY PRIMARY CARE
  • Facility Address: 24 MORRIS ROAD SUITE 1
    SHELBY, OH
    ZIP 44875
  • Facility Phone: 419 347-2828
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARION C. DEMERS MD
  • NPI Number: 1174660112
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0992662
LAB Type Physician Office
Facility Name SHELBY PRIMARY CARE
Street 24 MORRIS ROAD SUITE 1
City SHELBY
State OH
ZIP 44875
Phone 419 347-2828
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 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Physician Office
Lab Director MARION C. DEMERS MD

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