36D1002099 CLIA NUMBER - SUSAN G WOODS MD

Laboratory Demographics

  • CLIA Code: 36D1002099
  • Facility Name: SUSAN G WOODS MD
  • Facility Address: 20 OHLTOWN ROAD
    YOUNGSTOWN, OH
    ZIP 44515
  • Facility Phone: 330 884-1557
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUSAN G. WOODS
  • NPI Number: 1013960319
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 36D1002099
LAB Type Physician Office
Facility Name SUSAN G WOODS MD
Street 20 OHLTOWN ROAD
City YOUNGSTOWN
State OH
ZIP 44515
Phone 330 884-1557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Physician Office
Lab Director DR. SUSAN G. WOODS

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