36D1036960 CLIA NUMBER - MERCY HEALTH - OHIO NORTHERN UNIVERSITY

Laboratory Demographics

  • CLIA Code: 36D1036960
  • Facility Name: MERCY HEALTH - OHIO NORTHERN UNIVERSITY
  • Facility Address: 525 S MAIN ST
    ADA, OH
    ZIP 45810
  • Facility Phone: 419 226-4520
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: KIMBERLY D. MANNING
  • NPI Number: 1437668183
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D1036960
LAB Type School/Student Health Service
Facility Name MERCY HEALTH - OHIO NORTHERN UNIVERSITY
Street 525 S MAIN ST
City ADA
State OH
ZIP 45810
Phone 419 226-4520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type School/Student Health Service
Lab Director KIMBERLY D. MANNING

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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