36D1082640 CLIA NUMBER - LYNN M JOHNSON MD PLLC

Laboratory Demographics

  • CLIA Code: 36D1082640
  • Facility Name: LYNN M JOHNSON MD PLLC
  • Facility Address: 550 TRUMBULL AVENUE
    CORTLAND, OH
    ZIP 44410
  • Facility Phone: 330 720-0310
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LYNN JOHNSON MD
  • NPI Number: 1043203821
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D1082640
LAB Type Physician Office
Facility Name LYNN M JOHNSON MD PLLC
Street 550 TRUMBULL AVENUE
City CORTLAND
State OH
ZIP 44410
Phone 330 720-0310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Physician Office
Lab Director LYNN JOHNSON MD

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