36D2106758 CLIA NUMBER - GCH HEALTH SERVICES - THEISS

Laboratory Demographics

  • CLIA Code: 36D2106758
  • Facility Name: GCH HEALTH SERVICES - THEISS
  • Facility Address: 330 N SELTZER STREET
    CRESTLINE, OH
    ZIP 44827
  • Facility Phone: (419) 468-0796
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SARAH METZGER
  • NPI Number: 1255592556
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2106758
LAB Type Physician Office
Facility Name GCH HEALTH SERVICES - THEISS
Street 330 N SELTZER STREET
City CRESTLINE
State OH
ZIP 44827
Phone 4194680796
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director SARAH METZGER

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This page was last updated on: 5/18/2026