36D1011855 CLIA NUMBER - SANDUSKY CBOC

Laboratory Demographics

CLIA Number: 36D1011855

Facility Name: SANDUSKY CBOC

Facility Address:
1912 HAYES AVENUE
SANDUSKY, OH
ZIP 44870
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Facility Phone Number: 419 625-7350

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1366891343

Taxonomy: 207RR0500X - Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

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
CertificateType	1
CertificateEffectiveDate	4/24/2003
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024