36D1087017 CLIA NUMBER - PREMISE HEALTH OF OHIO MEDICAL PA

Laboratory Demographics

  • CLIA Code: 36D1087017
  • Facility Name: PREMISE HEALTH OF OHIO MEDICAL PA
  • Facility Address: 12700 COUNTY ROAD 212
    FINDLAY, OH
    ZIP 45840
  • Facility Phone: 419 429-5775
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: MELISSA M. ZELLNER
  • NPI Number: 1023429313
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1087017
LAB Type Industrial
Facility Name PREMISE HEALTH OF OHIO MEDICAL PA
Street 12700 COUNTY ROAD 212
City FINDLAY
State OH
ZIP 45840
Phone 419 429-5775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Industrial
Lab Director MELISSA M. ZELLNER

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