36D1019040 CLIA NUMBER - KREPTOWSKI FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 36D1019040
  • Facility Name: KREPTOWSKI FAMILY PRACTICE LLC
  • Facility Address: 6509 FRANK AVENUE NW
    NORTH CANTON, OH
    ZIP 44720
  • Facility Phone: 330 244-0480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIANNE KREPTOWSKI
  • NPI Number: 1922277656
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1019040
LAB Type Physician Office
Facility Name KREPTOWSKI FAMILY PRACTICE LLC
Street 6509 FRANK AVENUE NW
City NORTH CANTON
State OH
ZIP 44720
Phone 330 244-0480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Physician Office
Lab Director DIANNE KREPTOWSKI

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