36D2130762 CLIA NUMBER - COLEMAN PROFESSIONAL SERVICES

Laboratory Demographics

  • CLIA Code: 36D2130762
  • Facility Name: COLEMAN PROFESSIONAL SERVICES
  • Facility Address: 5982 RHODES RD
    KENT, OH
    ZIP 44240
  • Facility Phone: 330 673-1347
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BRIAN WELSH
  • NPI Number: 1134296213
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2130762
LAB Type Practitioner Other
Facility Name COLEMAN PROFESSIONAL SERVICES
Street 5982 RHODES RD
City KENT
State OH
ZIP 44240
Phone 330 673-1347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Practitioner Other
Lab Director BRIAN WELSH

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