36D1093056 CLIA NUMBER - WADSWORTH RITTMAN MEDICAL CENTER PC

Laboratory Demographics

  • CLIA Code: 36D1093056
  • Facility Name: WADSWORTH RITTMAN MEDICAL CENTER PC
  • Facility Address: 195 WADSWORTH RD STE 402
    WADSWORTH, OH
    ZIP 44281
  • Facility Phone: 330 336-3631
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIANA LISHNEVSKI
  • NPI Number: 1609810910
  • Taxonomy: 3336S0011X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1093056
LAB Type Physician Office
Facility Name WADSWORTH RITTMAN MEDICAL CENTER PC
Street 195 WADSWORTH RD STE 402
City WADSWORTH
State OH
ZIP 44281
Phone 330 336-3631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director DIANA LISHNEVSKI

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