36D1106247 CLIA NUMBER - HAGERMAN FAMILY PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 36D1106247
  • Facility Name: HAGERMAN FAMILY PHYSICIANS INC
  • Facility Address: 128 DEPOT STREET
    WAUSEON, OH
    ZIP 43567
  • Facility Phone: 419 335-0351
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY HAGERMAN MD
  • NPI Number: 1538266739
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1106247
LAB Type Physician Office
Facility Name HAGERMAN FAMILY PHYSICIANS INC
Street 128 DEPOT STREET
City WAUSEON
State OH
ZIP 43567
Phone 419 335-0351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Physician Office
Lab Director KIMBERLY HAGERMAN MD

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