36D2125619 CLIA NUMBER - UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 36D2125619
  • Facility Name: UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER
  • Facility Address: 158 WEST MAIN ROAD
    CONNEAUT, OH
    ZIP 44030
  • Facility Phone: 440 415-9533
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: DENISE R. DIDONATO
  • NPI Number: 1679602882
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2125619
LAB Type Health Fair
Facility Name UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER
Street 158 WEST MAIN ROAD
City CONNEAUT
State OH
ZIP 44030
Phone 440 415-9533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Health Fair
Lab Director DENISE R. DIDONATO

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