36D2173816 CLIA NUMBER - PROSPECT URGENT CARE

Laboratory Demographics

  • CLIA Code: 36D2173816
  • Facility Name: PROSPECT URGENT CARE
  • Facility Address: 417 W PROSPECT RD
    ASHTABULA, OH
    ZIP 44004
  • Facility Phone: (248) 957-7999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FARAH IFTIKHAR
  • NPI Number: 1760951644
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2173816
LAB Type Physician Office
Facility Name PROSPECT URGENT CARE
Street 417 W PROSPECT RD
City ASHTABULA
State OH
ZIP 44004
Phone 2489577999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Physician Office
Lab Director FARAH IFTIKHAR

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This page was last updated on: 5/18/2026