36D2065085 CLIA NUMBER - NEW LEAF CENTER

Laboratory Demographics

  • CLIA Code: 36D2065085
  • Facility Name: NEW LEAF CENTER
  • Facility Address: 15988 B EAST CHESTNUT ST
    MOUNT EATON, OH
    ZIP 44659
  • Facility Phone: 330 359-9888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLIVIA K. WENGER
  • NPI Number: 1144650987
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D2065085
LAB Type Physician Office
Facility Name NEW LEAF CENTER
Street 15988 B EAST CHESTNUT ST
City MOUNT EATON
State OH
ZIP 44659
Phone 330 359-9888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Physician Office
Lab Director OLIVIA K. WENGER

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