36D2127308 CLIA NUMBER - ONE EIGHTY, INC

Laboratory Demographics

  • CLIA Code: 36D2127308
  • Facility Name: ONE EIGHTY, INC
  • Facility Address: 104 SPINK STREET
    WOOSTER, OH
    ZIP 44691
  • Facility Phone: (330) 264-8498
  • Facility Type: Other - MH
  • Facility Type: Waiver
  • Lab Director: BOBBI DOUGLAS
  • NPI Number: 1164904843
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2127308
LAB Type Other - MH
Facility Name ONE EIGHTY, INC
Street 104 SPINK STREET
City WOOSTER
State OH
ZIP 44691
Phone 3302648498
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 Other - MH
Lab Director BOBBI DOUGLAS

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This page was last updated on: 5/18/2026