36D2087047 CLIA NUMBER - MIDWEST SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 36D2087047
  • Facility Name: MIDWEST SURGICAL CENTER
  • Facility Address: 7100 ORCHARD CENTRE DR
    HOLLAND, OH
    ZIP 43528
  • Facility Phone: 419 866-2000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: INNOCENT UBUNAMA
  • NPI Number: 1154738508
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2087047
LAB Type Ambulatory Surgery Center
Facility Name MIDWEST SURGICAL CENTER
Street 7100 ORCHARD CENTRE DR
City HOLLAND
State OH
ZIP 43528
Phone 419 866-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Ambulatory Surgery Center
Lab Director INNOCENT UBUNAMA

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