36D2038618 CLIA NUMBER - AULTMAN HOSPITAL, CLINICAL TRIALS

Laboratory Demographics

  • CLIA Code: 36D2038618
  • Facility Name: AULTMAN HOSPITAL, CLINICAL TRIALS
  • Facility Address: 2600 SIXTH STREET, SOUTH WEST
    CANTON, OH
    ZIP 44710
  • Facility Phone: 330 489-9053
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: SUSAN E. MERCER
  • NPI Number: 1619911054
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 36D2038618
LAB Type Ancillary Testing Site in Health Care Center
Facility Name AULTMAN HOSPITAL, CLINICAL TRIALS
Street 2600 SIXTH STREET, SOUTH WEST
City CANTON
State OH
ZIP 44710
Phone 330 489-9053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director SUSAN E. MERCER

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