36D2121948 CLIA NUMBER - HAWKINS MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 36D2121948
  • Facility Name: HAWKINS MEDICAL CENTER
  • Facility Address: 2131 PARK AVENUE WEST, SUITE 200
    MANSFIELD, OH
    ZIP 44906
  • Facility Phone: 419 525-6730
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SHENG LIU
  • NPI Number: 1427492271
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2121948
LAB Type Federally Qualified Health Center
Facility Name HAWKINS MEDICAL CENTER
Street 2131 PARK AVENUE WEST, SUITE 200
City MANSFIELD
State OH
ZIP 44906
Phone 419 525-6730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Federally Qualified Health Center
Lab Director SHENG LIU

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