36D2046427 CLIA NUMBER - AULTWORKS

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Laboratory Demographics

CLIA Number: 36D2046427

Facility Name: AULTWORKS

Facility Address:
4576 COUNTY ROAD 160
MOUNT HOPE, OH
ZIP 44660
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Facility Phone Number: 330 491-9675

Facility Type: Other - OCCUPATIONAL MED CLINIC

Certificate Type: Waiver

NPI Number: 1497202857

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	36D2046427
LAB Type	Other - OCCUPATIONAL MED CLINIC
Facility Name	AULTWORKS
Street	4576 COUNTY ROAD 160
City	MOUNT HOPE
State	OH
ZIP	44660
Phone	330 491-9675
CertificateType	4
CertificateEffectiveDate	9/4/2022
CertificateExpirationDate	9/3/2024
FacilityType	Waiver

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