36D1011855 CLIA NUMBER - SANDUSKY CBOC

Laboratory Demographics

  • CLIA Code: 36D1011855
  • Facility Name: SANDUSKY CBOC
  • Facility Address: 1912 HAYES AVENUE
    SANDUSKY, OH
    ZIP 44870
  • Facility Phone: 419 625-7350
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: LAURIE BAUER
  • NPI Number: 1366891343
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1011855
LAB Type Community Clinic
Facility Name SANDUSKY CBOC
Street 1912 HAYES AVENUE
City SANDUSKY
State OH
ZIP 44870
Phone 419 625-7350
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/24/2003
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director LAURIE BAUER

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