36D2102831 CLIA NUMBER - FAIRFIELD HEALTHCARE PROFESSIONALS PRIMARY CARE NEW LEXINGTON

Laboratory Demographics

  • CLIA Code: 36D2102831
  • Facility Name: FAIRFIELD HEALTHCARE PROFESSIONALS PRIMARY CARE NEW LEXINGTON
  • Facility Address: 775 CARROLL STREET
    NEW LEXINGTON, OH
    ZIP 43764
  • Facility Phone: 740 343-4447
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY J. HAGGENJOS
  • NPI Number: 1699496745
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2102831
LAB Type Physician Office
Facility Name FAIRFIELD HEALTHCARE PROFESSIONALS PRIMARY CARE NEW LEXINGTON
Street 775 CARROLL STREET
City NEW LEXINGTON
State OH
ZIP 43764
Phone 740 343-4447
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Physician Office
Lab Director DR. JEFFREY J. HAGGENJOS

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