36D1007346 CLIA NUMBER - NORTHERN OHIO FAMILY PRACTICE, INC

Laboratory Demographics

  • CLIA Code: 36D1007346
  • Facility Name: NORTHERN OHIO FAMILY PRACTICE, INC
  • Facility Address: 257 BENEDICT AVENUE BLDG C SUITE 1
    NORWALK, OH
    ZIP 44857
  • Facility Phone: 419 668-1101
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES A. GOTTFRIED MD
  • NPI Number: 1407841497
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D1007346
LAB Type Physician Office
Facility Name NORTHERN OHIO FAMILY PRACTICE, INC
Street 257 BENEDICT AVENUE BLDG C SUITE 1
City NORWALK
State OH
ZIP 44857
Phone 419 668-1101
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 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director JAMES A. GOTTFRIED MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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