36D2137026 CLIA NUMBER - LMHS SPECIALISTS AT SIDNEY

Laboratory Demographics

  • CLIA Code: 36D2137026
  • Facility Name: LMHS SPECIALISTS AT SIDNEY
  • Facility Address: 915 MICHIGAN ST, SUITE 203
    SIDNEY, OH
    ZIP 45365
  • Facility Phone: 419 998-4741
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NASIM MASTOURI
  • NPI Number: 1104190578
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2137026
LAB Type Physician Office
Facility Name LMHS SPECIALISTS AT SIDNEY
Street 915 MICHIGAN ST, SUITE 203
City SIDNEY
State OH
ZIP 45365
Phone 419 998-4741
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Physician Office
Lab Director NASIM MASTOURI

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