36D2063839 CLIA NUMBER - LARRY E TOPE OD

Laboratory Demographics

  • CLIA Code: 36D2063839
  • Facility Name: LARRY E TOPE OD
  • Facility Address: 701 W WAYNE ST
    PAULDING, OH
    ZIP 45879
  • Facility Phone: 419 399-2255
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LARRY E. TOPE
  • NPI Number: 1265498554
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 36D2063839
LAB Type Physician Office
Facility Name LARRY E TOPE OD
Street 701 W WAYNE ST
City PAULDING
State OH
ZIP 45879
Phone 419 399-2255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Physician Office
Lab Director LARRY E. TOPE

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