36D2140747 CLIA NUMBER - AUGLAIZE INDUSTRIES

Laboratory Demographics

  • CLIA Code: 36D2140747
  • Facility Name: AUGLAIZE INDUSTRIES
  • Facility Address: 330 WEST BOESEL AVENUE
    NEW BREMEN, OH
    ZIP 45869
  • Facility Phone: 419 629-3603
  • Facility Type: Other - DAY HAB/WORKSITE FOR DD
  • Facility Type: Waiver
  • Lab Director: NANCY CONRADI
  • NPI Number: 1871961144
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2140747
LAB Type Other - DAY HAB/WORKSITE FOR DD
Facility Name AUGLAIZE INDUSTRIES
Street 330 WEST BOESEL AVENUE
City NEW BREMEN
State OH
ZIP 45869
Phone 419 629-3603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Other - DAY HAB/WORKSITE FOR DD
Lab Director NANCY CONRADI

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