36D1045139 CLIA NUMBER - BREWSTER FAMILY WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 36D1045139
  • Facility Name: BREWSTER FAMILY WELLNESS CENTER
  • Facility Address: 4172 HOLIDAY STREET, NW
    CANTON, OH
    ZIP 44718
  • Facility Phone: 330 433-9260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIANA L. BREWSTER DO
  • NPI Number: 1881097087
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D1045139
LAB Type Physician Office
Facility Name BREWSTER FAMILY WELLNESS CENTER
Street 4172 HOLIDAY STREET, NW
City CANTON
State OH
ZIP 44718
Phone 330 433-9260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Physician Office
Lab Director DIANA L. BREWSTER DO

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