36D1104935 CLIA NUMBER - FAIRFIELD HEALTHCARE PROFESSIONALS ORTHOPEDICS PHYSICAL MED

Laboratory Demographics

  • CLIA Code: 36D1104935
  • Facility Name: FAIRFIELD HEALTHCARE PROFESSIONALS ORTHOPEDICS PHYSICAL MED
  • Facility Address: 2384 N MEMORIAL DRIVE
    LANCASTER, OH
    ZIP 43130
  • Facility Phone: 740 689-4935
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN WALTER
  • NPI Number: 1548214752
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 36D1104935
LAB Type Physician Office
Facility Name FAIRFIELD HEALTHCARE PROFESSIONALS ORTHOPEDICS PHYSICAL MED
Street 2384 N MEMORIAL DRIVE
City LANCASTER
State OH
ZIP 43130
Phone 740 689-4935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director JOHN WALTER

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