36D2055608 CLIA NUMBER - VISTA SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 36D2055608
  • Facility Name: VISTA SURGICAL CENTER
  • Facility Address: 4319 EXECUTIVE CIRCLE NW
    CANTON, OH
    ZIP 44718
  • Facility Phone: 330 526-0530
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHERRI ANDERSON
  • NPI Number: 1023373628
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2055608
LAB Type Ambulatory Surgery Center
Facility Name VISTA SURGICAL CENTER
Street 4319 EXECUTIVE CIRCLE NW
City CANTON
State OH
ZIP 44718
Phone 330 526-0530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Ambulatory Surgery Center
Lab Director SHERRI ANDERSON

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This page was last updated on: 6/4/2025