36D2016014 CLIA NUMBER - NICHOLAS E SHEROCK JR DO

Laboratory Demographics

  • CLIA Code: 36D2016014
  • Facility Name: NICHOLAS E SHEROCK JR DO
  • Facility Address: 100 LILLIAN GISH BLVD SW STE 201
    MASSILLON, OH
    ZIP 44647
  • Facility Phone: 330 765-9104
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NICHOLAS E. SHEROCK
  • NPI Number: 1134115926
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D2016014
LAB Type Physician Office
Facility Name NICHOLAS E SHEROCK JR DO
Street 100 LILLIAN GISH BLVD SW STE 201
City MASSILLON
State OH
ZIP 44647
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