36D2044646 CLIA NUMBER - AID FAMILY MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 36D2044646

Facility Name: AID FAMILY MEDICAL CENTER

Facility Address:
13804 STATE ROUTE 141
KITTS HILL, OH
ZIP 45645
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Facility Phone Number: 740 643-2082

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1225386501

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2044646
LAB Type	Federally Qualified Health Center
Facility Name	AID FAMILY MEDICAL CENTER
Street	13804 STATE ROUTE 141
City	KITTS HILL
State	OH
ZIP	45645
Phone	740 643-2082
CertificateType	4
CertificateEffectiveDate	7/27/2022
CertificateExpirationDate	7/26/2024
FacilityType	Waiver

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