36D2165147 CLIA NUMBER - COLERAIN HEALTH CENTER

Laboratory Demographics

CLIA Number: 36D2165147

Facility Name: COLERAIN HEALTH CENTER

Facility Address:
72562 COLERAIN RD
DILLONVALE, OH
ZIP 43917
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Facility Phone Number: 740 738-0020

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780043372

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	36D2165147
LAB Type	Physician Office
Facility Name	COLERAIN HEALTH CENTER
Street	72562 COLERAIN RD
City	DILLONVALE
State	OH
ZIP	43917
Phone	740 738-0020
CertificateType	4
CertificateEffectiveDate	4/22/2023
CertificateExpirationDate	4/21/2025
FacilityType	Waiver

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