36D1003076 CLIA NUMBER - BRUNSWICK FAMILY MEDICINE INC

Laboratory Demographics

  • CLIA Code: 36D1003076
  • Facility Name: BRUNSWICK FAMILY MEDICINE INC
  • Facility Address: 3919 CENTER ROAD
    BRUNSWICK, OH
    ZIP 44212
  • Facility Phone: 330 558-0405
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERALD ROBUSTO DO
  • NPI Number: 1861500571
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 36D1003076
LAB Type Physician Office
Facility Name BRUNSWICK FAMILY MEDICINE INC
Street 3919 CENTER ROAD
City BRUNSWICK
State OH
ZIP 44212
Phone 330 558-0405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Physician Office
Lab Director GERALD ROBUSTO DO

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