36D1023056 CLIA NUMBER - PREMIER WOMEN'S CARE INC

Laboratory Demographics

  • CLIA Code: 36D1023056
  • Facility Name: PREMIER WOMEN'S CARE INC
  • Facility Address: 2606 WALES ROAD NW SUITE 100
    MASSILLON, OH
    ZIP 44646
  • Facility Phone: 330 834-4000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: INDIRA NANNAPANENI MD
  • NPI Number: 1992750343
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D1023056
LAB Type Physician Office
Facility Name PREMIER WOMEN'S CARE INC
Street 2606 WALES ROAD NW SUITE 100
City MASSILLON
State OH
ZIP 44646
Phone 330 834-4000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Physician Office
Lab Director INDIRA NANNAPANENI MD

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