36D2085600 CLIA NUMBER - LIMA MEMORIAL HEALTH SYSTEM-KENTON MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 36D2085600
  • Facility Name: LIMA MEMORIAL HEALTH SYSTEM-KENTON MEDICAL CENTER
  • Facility Address: 1211 E COLUMBUS ST
    KENTON, OH
    ZIP 43326
  • Facility Phone: 419 675-0668
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES O. DOONE
  • NPI Number: 1962810697
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2085600
LAB Type Physician Office
Facility Name LIMA MEMORIAL HEALTH SYSTEM-KENTON MEDICAL CENTER
Street 1211 E COLUMBUS ST
City KENTON
State OH
ZIP 43326
Phone 419 675-0668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director JAMES O. DOONE

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