36D2097883 CLIA NUMBER - GENESIS ANTICOAGULATION CLINIC

Laboratory Demographics

  • CLIA Code: 36D2097883
  • Facility Name: GENESIS ANTICOAGULATION CLINIC
  • Facility Address: 751 FOREST AVE SUITE 102
    ZANESVILLE, OH
    ZIP 43701
  • Facility Phone: 740 454-5667
  • Facility Type: Other - ANTICOAGULATION CLINIC
  • Facility Type: Waiver
  • Lab Director: WILLIAM SHADE
  • NPI Number: 1295205433
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 36D2097883
LAB Type Other - ANTICOAGULATION CLINIC
Facility Name GENESIS ANTICOAGULATION CLINIC
Street 751 FOREST AVE SUITE 102
City ZANESVILLE
State OH
ZIP 43701
Phone 740 454-5667
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Other - ANTICOAGULATION CLINIC
Lab Director WILLIAM SHADE

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