36D2079743 CLIA NUMBER - COLEMAN PROFESSIONAL SERVICES

Laboratory Demographics

  • CLIA Code: 36D2079743
  • Facility Name: COLEMAN PROFESSIONAL SERVICES
  • Facility Address: 5982 RHOADES ROAD
    KENT, OH
    ZIP 44240
  • Facility Phone: 330 673-1347
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: HOLLY A. MELIN
  • NPI Number: 1730405614
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 36D2079743
LAB Type Community Clinic
Facility Name COLEMAN PROFESSIONAL SERVICES
Street 5982 RHOADES ROAD
City KENT
State OH
ZIP 44240
Phone 330 673-1347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Community Clinic
Lab Director HOLLY A. MELIN

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