36D0996724 CLIA NUMBER - THREE GABLES SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 36D0996724
  • Facility Name: THREE GABLES SURGERY CENTER
  • Facility Address: 5897 COUNTY ROAD 107
    PROCTORVILLE, OH
    ZIP 45669
  • Facility Phone: 740 886-9911
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: AMY ASH
  • NPI Number: 1124083878
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0996724
LAB Type Hospital
Facility Name THREE GABLES SURGERY CENTER
Street 5897 COUNTY ROAD 107
City PROCTORVILLE
State OH
ZIP 45669
Phone 740 886-9911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Hospital
Lab Director AMY ASH

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