36D2046427 CLIA NUMBER - AULTWORKS

Laboratory Demographics

  • CLIA Code: 36D2046427
  • Facility Name: AULTWORKS
  • Facility Address: 4576 COUNTY ROAD 160
    MOUNT HOPE, OH
    ZIP 44660
  • Facility Phone: 330 491-9675
  • Facility Type: Other - OCCUPATIONAL MED CLINIC
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. MARVIN
  • NPI Number: 1497202857
  • Taxonomy: 174400000X - Specialist

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Other - OCCUPATIONAL MED CLINIC
Lab Director MICHAEL J. MARVIN

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