36D1067137 CLIA NUMBER - EASTERN WOODS FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 36D1067137
  • Facility Name: EASTERN WOODS FAMILY PRACTICE
  • Facility Address: 15840 MEDICAL DRIVE SOUTH SUITE B
    FINDLAY, OH
    ZIP 45840
  • Facility Phone: 419 425-3780
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JENNIFER E. STULL
  • NPI Number: 1205862927
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 36D1067137
LAB Type Physician Office
Facility Name EASTERN WOODS FAMILY PRACTICE
Street 15840 MEDICAL DRIVE SOUTH SUITE B
City FINDLAY
State OH
ZIP 45840
Phone 419 425-3780
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Physician Office
Lab Director JENNIFER E. STULL

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