36D2143648 CLIA NUMBER - MARION GENERAL HEART FAILURE CLINIC

Laboratory Demographics

  • CLIA Code: 36D2143648
  • Facility Name: MARION GENERAL HEART FAILURE CLINIC
  • Facility Address: 165 WEST CENTER STREET SUITE C
    MARION, OH
    ZIP 43302
  • Facility Phone: 740 692-4410
  • Facility Type: Other - HEART FAILURE CLINIC
  • Facility Type: Waiver
  • Lab Director: MAYANK K. SHAH
  • NPI Number: 1386642155
  • Taxonomy: 273R00000X - Psychiatric Unit

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CLIA Record

Field Name Field Value
CLIA Number 36D2143648
LAB Type Other - HEART FAILURE CLINIC
Facility Name MARION GENERAL HEART FAILURE CLINIC
Street 165 WEST CENTER STREET SUITE C
City MARION
State OH
ZIP 43302
Phone 740 692-4410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Other - HEART FAILURE CLINIC
Lab Director MAYANK K. SHAH

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