36D1070358 CLIA NUMBER - EAGLE EXPLORATION COMPANY DBA PRIMEMD INC

Laboratory Demographics

  • CLIA Code: 36D1070358
  • Facility Name: EAGLE EXPLORATION COMPANY DBA PRIMEMD INC
  • Facility Address: 1500 E MAIN ST, SUITE B2
    LANCASTER, OH
    ZIP 43130
  • Facility Phone: 740 654-0232
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAVEEN R. BEKKAM
  • NPI Number: 1235871914
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1070358
LAB Type Physician Office
Facility Name EAGLE EXPLORATION COMPANY DBA PRIMEMD INC
Street 1500 E MAIN ST, SUITE B2
City LANCASTER
State OH
ZIP 43130
Phone 740 654-0232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director NAVEEN R. BEKKAM

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