36D2020290 CLIA NUMBER - ADENA OB GYN

Laboratory Demographics

  • CLIA Code: 36D2020290
  • Facility Name: ADENA OB GYN
  • Facility Address: 550 MIRABEAU STREET
    GREENFIELD, OH
    ZIP 45123
  • Facility Phone: 740 779-7201
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHRISTOPHER BUCKLEY
  • NPI Number: 1528252897
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D2020290
LAB Type Physician Office
Facility Name ADENA OB GYN
Street 550 MIRABEAU STREET
City GREENFIELD
State OH
ZIP 45123
Phone 740 779-7201
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 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Physician Office
Lab Director CHRISTOPHER BUCKLEY

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