36D2108418 CLIA NUMBER - NORTHPOINTE SURGICAL SUITES LLC

Laboratory Demographics

  • CLIA Code: 36D2108418
  • Facility Name: NORTHPOINTE SURGICAL SUITES LLC
  • Facility Address: 3250 NORTHPOINTE DR
    ZANESVILLE, OH
    ZIP 43701
  • Facility Phone: 740 704-1575
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRAD E. BRAUTIGAN
  • NPI Number: 1043679509
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2108418
LAB Type Ambulatory Surgery Center
Facility Name NORTHPOINTE SURGICAL SUITES LLC
Street 3250 NORTHPOINTE DR
City ZANESVILLE
State OH
ZIP 43701
Phone 740 704-1575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Ambulatory Surgery Center
Lab Director BRAD E. BRAUTIGAN

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