36D2169444 CLIA NUMBER - MALABAR CARE CONNECT

Laboratory Demographics

  • CLIA Code: 36D2169444
  • Facility Name: MALABAR CARE CONNECT
  • Facility Address: 205 W COOK RD
    MANSFIELD, OH
    ZIP 44907
  • Facility Phone: 419 522-6191
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SHENG LIU
  • NPI Number: 1285380550
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2169444
LAB Type Federally Qualified Health Center
Facility Name MALABAR CARE CONNECT
Street 205 W COOK RD
City MANSFIELD
State OH
ZIP 44907
Phone 419 522-6191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Federally Qualified Health Center
Lab Director SHENG LIU

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