36D1049931 CLIA NUMBER - QUALITY PRIMARY CARE CO DBA FASTRACK URGENT CARE

Laboratory Demographics

  • CLIA Code: 36D1049931
  • Facility Name: QUALITY PRIMARY CARE CO DBA FASTRACK URGENT CARE
  • Facility Address: 135 WEST PERRY STREET
    PORT CLINTON, OH
    ZIP 43452
  • Facility Phone: 419 732-7800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD L. KENDALL MD
  • NPI Number: 1043485808
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1049931
LAB Type Physician Office
Facility Name QUALITY PRIMARY CARE CO DBA FASTRACK URGENT CARE
Street 135 WEST PERRY STREET
City PORT CLINTON
State OH
ZIP 43452
Phone 419 732-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Physician Office
Lab Director RICHARD L. KENDALL MD

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