36D1000270 CLIA NUMBER - MELISSA BECKER MD LLC

Laboratory Demographics

  • CLIA Code: 36D1000270
  • Facility Name: MELISSA BECKER MD LLC
  • Facility Address: 715 RICHLAND MALL SUITE A
    ONTARIO, OH
    ZIP 44906
  • Facility Phone: 419 522-0948
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MELISSA M. BECKER MD
  • NPI Number: 1174514087
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1000270
LAB Type Physician Office
Facility Name MELISSA BECKER MD LLC
Street 715 RICHLAND MALL SUITE A
City ONTARIO
State OH
ZIP 44906
Phone 419 522-0948
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 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Physician Office
Lab Director MELISSA M. BECKER MD

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This page was last updated on: 6/4/2025