36D2162846 CLIA NUMBER - MARSHALL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 36D2162846
  • Facility Name: MARSHALL PEDIATRICS
  • Facility Address: 322 2ND AVE
    SIDNEY, OH
    ZIP 45365
  • Facility Phone: 937 419-0419
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARAH MARSHALL
  • NPI Number: 1730645458
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D2162846
LAB Type Physician Office
Facility Name MARSHALL PEDIATRICS
Street 322 2ND AVE
City SIDNEY
State OH
ZIP 45365
Phone 937 419-0419
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director SARAH MARSHALL

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