36D2016011 CLIA NUMBER - NICHOLAS E SHEROCK JR DO

Laboratory Demographics

  • CLIA Code: 36D2016011
  • Facility Name: NICHOLAS E SHEROCK JR DO
  • Facility Address: 830 S MAIN ST STE 102
    ORRVILLE, OH
    ZIP 44667
  • Facility Phone: 330 765-9104
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NICHOLAS E. SHEROCK
  • NPI Number: 1447858998
  • Taxonomy: 1835P0018X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 36D2016011
LAB Type Physician Office
Facility Name NICHOLAS E SHEROCK JR DO
Street 830 S MAIN ST STE 102
City ORRVILLE
State OH
ZIP 44667
Phone 330 765-9104
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Physician Office
Lab Director NICHOLAS E. SHEROCK

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