36D1024325 CLIA NUMBER - CAMBRIDGE CBOC

Laboratory Demographics

CLIA Code: 36D1024325
Facility Name: CAMBRIDGE CBOC
Facility Address: 2146 SOUTHGATE PARKWAY
CAMBRIDGE, OH
ZIP 43725
Facility Phone: 740 432-1963
Facility Type: Community Clinic
Facility Type: Accreditation
Lab Director: PETER BAUER
NPI Number: 1508923061
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	36D1024325
LAB Type	Community Clinic
Facility Name	CAMBRIDGE CBOC
Street	2146 SOUTHGATE PARKWAY
City	CAMBRIDGE
State	OH
ZIP	43725
Phone	740 432-1963
Certificate Type	Certificate of Accreditation
Certificate Type Description	This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date	4/8/2004
Certificate Expiration Date	5/22/2026
Facility Type	Community Clinic
Lab Director	PETER BAUER

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