36D1031466 CLIA NUMBER - LIMA CBOC

Laboratory Demographics

  • CLIA Code: 36D1031466
  • Facility Name: LIMA CBOC
  • Facility Address: 250 WEST HIGH ST SUITE 350
    LIMA, OH
    ZIP 45801
  • Facility Phone: 419 222-5788
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: MUMTAZ SAJJAD
  • NPI Number: 1457562852
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 36D1031466
LAB Type Community Clinic
Facility Name LIMA CBOC
Street 250 WEST HIGH ST SUITE 350
City LIMA
State OH
ZIP 45801
Phone 419 222-5788
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 9/30/2004
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director MUMTAZ SAJJAD

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