36D2141775 CLIA NUMBER - MERCY HEALTH BOARDMAN ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 36D2141775
  • Facility Name: MERCY HEALTH BOARDMAN ENDOCRINOLOGY
  • Facility Address: 835 MCKAY COURT, SUITE 100
    BOARDMAN, OH
    ZIP 44512
  • Facility Phone: 330 729-3878
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MILAD ABUSAG
  • NPI Number: 1659722171
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2141775
LAB Type Physician Office
Facility Name MERCY HEALTH BOARDMAN ENDOCRINOLOGY
Street 835 MCKAY COURT, SUITE 100
City BOARDMAN
State OH
ZIP 44512
Phone 330 729-3878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Physician Office
Lab Director MILAD ABUSAG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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