36D2131233 CLIA NUMBER - ANGEL INTERVENTION SERVICES LLC

Laboratory Demographics

  • CLIA Code: 36D2131233
  • Facility Name: ANGEL INTERVENTION SERVICES LLC
  • Facility Address: 123 S WASHINGTON ST
    VAN WERT, OH
    ZIP 45891
  • Facility Phone: 419 771-1050
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: HOLLY L. CONKLIN
  • NPI Number: 1801311121
  • Taxonomy: 261QR0401X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2131233
LAB Type Independent
Facility Name ANGEL INTERVENTION SERVICES LLC
Street 123 S WASHINGTON ST
City VAN WERT
State OH
ZIP 45891
Phone 419 771-1050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Independent
Lab Director HOLLY L. CONKLIN

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