36D2091486 CLIA NUMBER - BUCYRUS COMMUNITY HOSPITAL

Laboratory Demographics

  • CLIA Code: 36D2091486
  • Facility Name: BUCYRUS COMMUNITY HOSPITAL
  • Facility Address: 629 N SANDUSKY AVENUE LABORATORY
    BUCYRUS, OH
    ZIP 44820
  • Facility Phone: 000 419-5624
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: JACK S. MOSKOWITZ
  • NPI Number: 1114078029
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2091486
LAB Type Hospital
Facility Name BUCYRUS COMMUNITY HOSPITAL
Street 629 N SANDUSKY AVENUE LABORATORY
City BUCYRUS
State OH
ZIP 44820
Phone 000 419-5624
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Hospital
Lab Director JACK S. MOSKOWITZ

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