36D2118589 CLIA NUMBER - LMHS SPECIALISTS AT VAN WERT

Laboratory Demographics

  • CLIA Code: 36D2118589
  • Facility Name: LMHS SPECIALISTS AT VAN WERT
  • Facility Address: 140 FOX RD, SUITE 103 1/2
    VAN WERT, OH
    ZIP 45891
  • Facility Phone: 419 998-8255
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NASIM MASTOURI
  • NPI Number: 1306393541
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2118589
LAB Type Physician Office
Facility Name LMHS SPECIALISTS AT VAN WERT
Street 140 FOX RD, SUITE 103 1/2
City VAN WERT
State OH
ZIP 45891
Phone 419 998-8255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Physician Office
Lab Director NASIM MASTOURI

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