36D2020283 CLIA NUMBER - EYE SURGERY CONSULTANTS

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Laboratory Demographics

CLIA Number: 36D2020283

Facility Name: EYE SURGERY CONSULTANTS

Facility Address:
240 WEST COOK ROAD
MANSFIELD, OH
ZIP 44907
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Facility Phone Number: 419 525-3737

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942394309

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	36D2020283
LAB Type	Physician Office
Facility Name	EYE SURGERY CONSULTANTS
Street	240 WEST COOK ROAD
City	MANSFIELD
State	OH
ZIP	44907
Phone	419 525-3737
CertificateType	4
CertificateEffectiveDate	3/5/2024
CertificateExpirationDate	3/4/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024