36D1005930 CLIA NUMBER - GLORIOSO GENERAL PRACTICE

Laboratory Demographics

  • CLIA Code: 36D1005930
  • Facility Name: GLORIOSO GENERAL PRACTICE
  • Facility Address: 103 PLAZA DRIVE
    ST CLAIRSVILLE, OH
    ZIP 43950
  • Facility Phone: 740 699-2730
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH J. GLORIOSO
  • NPI Number: 1649422510
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1005930
LAB Type Physician Office
Facility Name GLORIOSO GENERAL PRACTICE
Street 103 PLAZA DRIVE
City ST CLAIRSVILLE
State OH
ZIP 43950
Phone 740 699-2730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Physician Office
Lab Director JOSEPH J. GLORIOSO

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