36D2007649 CLIA NUMBER - WILLOW WELLNESS CENTER LLC

Laboratory Demographics

  • CLIA Code: 36D2007649
  • Facility Name: WILLOW WELLNESS CENTER LLC
  • Facility Address: 4773 CARROLL CEMETARY ROAD
    CARROLL, OH
    ZIP 43112
  • Facility Phone: 740 756-4816
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARBARA J. SINGER
  • NPI Number: 1710202700
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2007649
LAB Type Physician Office
Facility Name WILLOW WELLNESS CENTER LLC
Street 4773 CARROLL CEMETARY ROAD
City CARROLL
State OH
ZIP 43112
Phone 740 756-4816
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director BARBARA J. SINGER

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