36D1059633 CLIA NUMBER - ENDOCRINOLOGY ASSOCIATES OF OHIO LLC

Laboratory Demographics

CLIA Number: 36D1059633

Facility Name: ENDOCRINOLOGY ASSOCIATES OF OHIO LLC

Facility Address:
3694 STARRS CENTER DRIVE
CANFIELD, OH
ZIP 44406
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Facility Phone Number: 330 702-1310

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942344387

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	36D1059633
LAB Type	Physician Office
Facility Name	ENDOCRINOLOGY ASSOCIATES OF OHIO LLC
Street	3694 STARRS CENTER DRIVE
City	CANFIELD
State	OH
ZIP	44406
Phone	330 702-1310
CertificateType	4
CertificateEffectiveDate	10/4/2022
CertificateExpirationDate	10/3/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024