36D2151668 CLIA NUMBER - CONSTANTINE G ECONOMUS, MD, LLC

Laboratory Demographics

  • CLIA Code: 36D2151668
  • Facility Name: CONSTANTINE G ECONOMUS, MD, LLC
  • Facility Address: 2020 EAST STATE ST
    SALEM, OH
    ZIP 44460
  • Facility Phone: 330 884-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CONSTANTINE G. ECONOMUS
  • NPI Number: 1396850269
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2151668
LAB Type Physician Office
Facility Name CONSTANTINE G ECONOMUS, MD, LLC
Street 2020 EAST STATE ST
City SALEM
State OH
ZIP 44460
Phone 330 884-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director CONSTANTINE G. ECONOMUS

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