36D1055609 CLIA NUMBER - MINUTECLINIC DIAGNOSTIC OF OHIO LLC

Laboratory Demographics

  • CLIA Code: 36D1055609
  • Facility Name: MINUTECLINIC DIAGNOSTIC OF OHIO LLC
  • Facility Address: 296 CENTER STREET
    CHARDON, OH
    ZIP 44024
  • Facility Phone: 866 389-2727
  • Facility Type: Other - LTD SVC HLTH CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: NICOLE BUCLEY
  • NPI Number: 1457792418
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 36D1055609
LAB Type Other - LTD SVC HLTH CARE CLINIC
Facility Name MINUTECLINIC DIAGNOSTIC OF OHIO LLC
Street 296 CENTER STREET
City CHARDON
State OH
ZIP 44024
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Other - LTD SVC HLTH CARE CLINIC
Lab Director NICOLE BUCLEY

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