36D2163958 CLIA NUMBER - SHILOH MEDICAL SERVICES

Laboratory Demographics

CLIA Number: 36D2163958

Facility Name: SHILOH MEDICAL SERVICES

Facility Address:
5748 ST RT 13 N
GREENWICH, OH
ZIP 44837
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Facility Phone Number: 419 908-8003

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1477026722

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	36D2163958
LAB Type	Rural Health Clinic
Facility Name	SHILOH MEDICAL SERVICES
Street	5748 ST RT 13 N
City	GREENWICH
State	OH
ZIP	44837
Phone	419 908-8003
CertificateType	4
CertificateEffectiveDate	3/25/2023
CertificateExpirationDate	3/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024