36D1072453 CLIA NUMBER - OHIOHEALTH MARION AREA PHYSICIANS PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 36D1072453
  • Facility Name: OHIOHEALTH MARION AREA PHYSICIANS PRIMARY CARE
  • Facility Address: 980 S PROSPECT ST
    MARION, OH
    ZIP 43302
  • Facility Phone: 740 383-8588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. HAYES
  • NPI Number: 1275956336
  • Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 36D1072453
LAB Type Physician Office
Facility Name OHIOHEALTH MARION AREA PHYSICIANS PRIMARY CARE
Street 980 S PROSPECT ST
City MARION
State OH
ZIP 43302
Phone 740 383-8588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director MICHAEL J. HAYES

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