36D1038753 CLIA NUMBER - CONSTANTINE G ECONOMUS MD LLC

Laboratory Demographics

  • CLIA Code: 36D1038753
  • Facility Name: CONSTANTINE G ECONOMUS MD LLC
  • Facility Address: 1026 BOARDMAN-CANFIELD ROAD
    YOUNGSTOWN, OH
    ZIP 44512
  • Facility Phone: 330 884-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CONSTANTINE G. ECONOMUS
  • NPI Number: 1730170432
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D1038753
LAB Type Physician Office
Facility Name CONSTANTINE G ECONOMUS MD LLC
Street 1026 BOARDMAN-CANFIELD ROAD
City YOUNGSTOWN
State OH
ZIP 44512
Phone 330 884-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director CONSTANTINE G. ECONOMUS

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