36D1000330 CLIA NUMBER - DMHD FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 36D1000330
  • Facility Name: DMHD FAMILY PRACTICE
  • Facility Address: 1320 BELMONT ANENUE SUITE 2
    YOUNGSTOWN, OH
    ZIP 44504
  • Facility Phone: 330 744-0213
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID M. DAVIS MD
  • NPI Number: 1821284159
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1000330
LAB Type Physician Office
Facility Name DMHD FAMILY PRACTICE
Street 1320 BELMONT ANENUE SUITE 2
City YOUNGSTOWN
State OH
ZIP 44504
Phone 330 744-0213
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 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director DAVID M. DAVIS MD

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