36D2163881 CLIA NUMBER - AMAZING GRACE CENTER

Laboratory Demographics

  • CLIA Code: 36D2163881
  • Facility Name: AMAZING GRACE CENTER
  • Facility Address: 802 CLARE AVENUE
    PORTSMOUTH, OH
    ZIP 45662
  • Facility Phone: 740 876-8449
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANDREA U. URADU
  • NPI Number: 1205188588
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2163881
LAB Type Practitioner Other
Facility Name AMAZING GRACE CENTER
Street 802 CLARE AVENUE
City PORTSMOUTH
State OH
ZIP 45662
Phone 740 876-8449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Practitioner Other
Lab Director ANDREA U. URADU

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