36D1011690 CLIA NUMBER - SURGICENTER LTD BLOOMBERG EYE CENTER

Laboratory Demographics

  • CLIA Code: 36D1011690
  • Facility Name: SURGICENTER LTD BLOOMBERG EYE CENTER
  • Facility Address: 1651 WEST MAIN STREET
    NEWARK, OH
    ZIP 43055
  • Facility Phone: 740 522-3937
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHAHIN SHAHINFAR MD
  • NPI Number: 1154412757
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1011690
LAB Type Ambulatory Surgery Center
Facility Name SURGICENTER LTD BLOOMBERG EYE CENTER
Street 1651 WEST MAIN STREET
City NEWARK
State OH
ZIP 43055
Phone 740 522-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Ambulatory Surgery Center
Lab Director SHAHIN SHAHINFAR MD

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