36D1021412 CLIA NUMBER - MARIETTA MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 36D1021412
  • Facility Name: MARIETTA MEMORIAL HOSPITAL
  • Facility Address: 807 FARSON ST STE 203C
    BELPRE, OH
    ZIP 45714
  • Facility Phone: (740) 423-9640
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TERI L. COOK
  • NPI Number: 1821925199
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1021412
LAB Type Physician Office
Facility Name MARIETTA MEMORIAL HOSPITAL
Street 807 FARSON ST STE 203C
City BELPRE
State OH
ZIP 45714
Phone 7404239640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2026
Certificate Expiration Date 1/21/2028
Facility Type Physician Office
Lab Director DR. TERI L. COOK

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This page was last updated on: 5/18/2026