36D2121949 CLIA NUMBER - FIVE POINTS PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 36D2121949
  • Facility Name: FIVE POINTS PRIMARY CARE
  • Facility Address: 200 PARK AVENUE WEST
    MANSFIELD, OH
    ZIP 44902
  • Facility Phone: (419) 522-2239
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SHENG LIU
  • NPI Number: 1245858950
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2121949
LAB Type Federally Qualified Health Center
Facility Name FIVE POINTS PRIMARY CARE
Street 200 PARK AVENUE WEST
City MANSFIELD
State OH
ZIP 44902
Phone 4195222239
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: 5/15/2026