36D2118589 CLIA NUMBER - LMPC SPECIALISTS AT VAN WERT

Laboratory Demographics

CLIA Number: 36D2118589

Facility Name: LMPC SPECIALISTS AT VAN WERT

Facility Address:
140 FOX RD, SUITE 103 1/2
VAN WERT, OH
ZIP 45891
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Facility Phone Number: 419 998-8255

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306393541

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	36D2118589
LAB Type	Physician Office
Facility Name	LMPC SPECIALISTS AT VAN WERT
Street	140 FOX RD, SUITE 103 1/2
City	VAN WERT
State	OH
ZIP	45891
Phone	419 998-8255
CertificateType	4
CertificateEffectiveDate	9/11/2023
CertificateExpirationDate	9/10/2025
FacilityType	Waiver

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