36D2177818 CLIA NUMBER - PEDIATRICS OF AKRON

Laboratory Demographics

  • CLIA Code: 36D2177818
  • Facility Name: PEDIATRICS OF AKRON
  • Facility Address: 215 WEST BOWERY STREET FIRST FLOOR
    AKRON, OH
    ZIP 44308
  • Facility Phone: 330 253-7753
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES B. PETTAY
  • NPI Number: 1386669299
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 36D2177818
LAB Type Physician Office
Facility Name PEDIATRICS OF AKRON
Street 215 WEST BOWERY STREET FIRST FLOOR
City AKRON
State OH
ZIP 44308
Phone 330 253-7753
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Physician Office
Lab Director JAMES B. PETTAY

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