36D2140747 CLIA NUMBER - AUGLAIZE INDUSTRIES

Laboratory Demographics

CLIA Number: 36D2140747

Facility Name: AUGLAIZE INDUSTRIES

Facility Address:
330 WEST BOESEL AVENUE
NEW BREMEN, OH
ZIP 45869
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Facility Phone Number: 419 629-3603

Facility Type: Other - DAY HAB/WORKSITE FOR DD

Certificate Type: Waiver

NPI Number: 1871961144

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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
CertificateType	4
CertificateEffectiveDate	11/29/2023
CertificateExpirationDate	11/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024