36D2106697 CLIA NUMBER - MEDINA OB/GYN

Laboratory Demographics

  • CLIA Code: 36D2106697
  • Facility Name: MEDINA OB/GYN
  • Facility Address: 3985 MEDINA ROAD SUITE 200
    MEDINA, OH
    ZIP 44256
  • Facility Phone: 330 952-2251
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANITA BELLANTE
  • NPI Number: 1750483558
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D2106697
LAB Type Physician Office
Facility Name MEDINA OB/GYN
Street 3985 MEDINA ROAD SUITE 200
City MEDINA
State OH
ZIP 44256
Phone 330 952-2251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director ANITA BELLANTE

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