36D2127293 CLIA NUMBER - BARNESVILLE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 36D2127293
  • Facility Name: BARNESVILLE FAMILY MEDICINE
  • Facility Address: 100 HOSPITAL DRIVE
    BARNESVILLE, OH
    ZIP 43713
  • Facility Phone: 740 425-5133
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAUN E. ROE
  • NPI Number: 1114100534
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 36D2127293
LAB Type Physician Office
Facility Name BARNESVILLE FAMILY MEDICINE
Street 100 HOSPITAL DRIVE
City BARNESVILLE
State OH
ZIP 43713
Phone 740 425-5133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director SHAUN E. ROE

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