36D1006843 CLIA NUMBER - STEVEN A CHISMAR MD

Laboratory Demographics

  • CLIA Code: 36D1006843
  • Facility Name: STEVEN A CHISMAR MD
  • Facility Address: 200 MEDICAL PARK DRIVE SUITE A2
    DOVER, OH
    ZIP 44622
  • Facility Phone: (330) 343-1200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVEN A. CHISMAR MD
  • NPI Number: 1790775047
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D1006843
LAB Type Physician Office
Facility Name STEVEN A CHISMAR MD
Street 200 MEDICAL PARK DRIVE SUITE A2
City DOVER
State OH
ZIP 44622
Phone 3303431200
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 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director STEVEN A. CHISMAR MD

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This page was last updated on: 5/15/2026