36D2103909 CLIA NUMBER - FALLS FAMILY CARE

Laboratory Demographics

CLIA Number: 36D2103909

Facility Name: FALLS FAMILY CARE

Facility Address:
175 E BROAD STREET
NEWTON FALLS, OH
ZIP 44444
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Facility Phone Number: 330 872-2010

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1114478807

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	36D2103909
LAB Type	Federally Qualified Health Center
Facility Name	FALLS FAMILY CARE
Street	175 E BROAD STREET
City	NEWTON FALLS
State	OH
ZIP	44444
Phone	330 872-2010
CertificateType	3
CertificateEffectiveDate	10/22/2023
CertificateExpirationDate	10/21/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024