36D2084615 CLIA NUMBER - LIMA MEMORIAL HEALTH SYSTEM ADA MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 36D2084615
  • Facility Name: LIMA MEMORIAL HEALTH SYSTEM ADA MEDICAL CENTER
  • Facility Address: 1003 BELLEFONTAINE AVE SUITE 125
    LIMA, OH
    ZIP 45804
  • Facility Phone: 419 998-8207
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANNON R. WESLEY
  • NPI Number: 1760848139
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 36D2084615
LAB Type Physician Office
Facility Name LIMA MEMORIAL HEALTH SYSTEM ADA MEDICAL CENTER
Street 1003 BELLEFONTAINE AVE SUITE 125
City LIMA
State OH
ZIP 45804
Phone 419 998-8207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director SHANNON R. WESLEY

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