36D1039245 CLIA NUMBER - NEWARK COMMUNITY BASED OUTPATIENT CLINIC

Laboratory Demographics

  • CLIA Code: 36D1039245
  • Facility Name: NEWARK COMMUNITY BASED OUTPATIENT CLINIC
  • Facility Address: 1855 W MAIN STREET
    NEWARK, OH
    ZIP 43055
  • Facility Phone: 614 257-5900
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: PETER BAUER
  • NPI Number: 1144035007
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D1039245
LAB Type Community Clinic
Facility Name NEWARK COMMUNITY BASED OUTPATIENT CLINIC
Street 1855 W MAIN STREET
City NEWARK
State OH
ZIP 43055
Phone 614 257-5900
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 4/8/2005
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