36D1018331 CLIA NUMBER - DR BRADLEY C WILSON INC

Laboratory Demographics

  • CLIA Code: 36D1018331
  • Facility Name: DR BRADLEY C WILSON INC
  • Facility Address: 7756 STATE ROUTE 37 EAST
    NEW LEXINGTON, OH
    ZIP 43764
  • Facility Phone: 740 342-3540
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRADLEY C. WILSON
  • NPI Number: 1164577367
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1018331
LAB Type Physician Office
Facility Name DR BRADLEY C WILSON INC
Street 7756 STATE ROUTE 37 EAST
City NEW LEXINGTON
State OH
ZIP 43764
Phone 740 342-3540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Physician Office
Lab Director BRADLEY C. WILSON

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