36D1090211 CLIA NUMBER - MICHAEL P HAGGERTY MD LLC/WILLIAM M QUIRK MD FACOG OB/GYN LLC

Laboratory Demographics

  • CLIA Code: 36D1090211
  • Facility Name: MICHAEL P HAGGERTY MD LLC/WILLIAM M QUIRK MD FACOG OB/GYN LLC
  • Facility Address: 5533 MAHONING AVENUE SUITE D
    AUSTINTOWN, OH
    ZIP 44515
  • Facility Phone: 330 793-7966
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL P. HAGGERTY
  • NPI Number: 1245219419
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1090211
LAB Type Physician Office
Facility Name MICHAEL P HAGGERTY MD LLC/WILLIAM M QUIRK MD FACOG OB/GYN LLC
Street 5533 MAHONING AVENUE SUITE D
City AUSTINTOWN
State OH
ZIP 44515
Phone 330 793-7966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director MICHAEL P. HAGGERTY

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