36D2181192 CLIA NUMBER - OHIO ENDOVASCULAR, LLC

Laboratory Demographics

  • CLIA Code: 36D2181192
  • Facility Name: OHIO ENDOVASCULAR, LLC
  • Facility Address: 1950 NILES-CORTLAND RD NE SUITE 12
    WARREN, OH
    ZIP 44484
  • Facility Phone: 330 282-6301
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EUGENE V. VITVITSKY
  • NPI Number: 1437527181
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 36D2181192
LAB Type Physician Office
Facility Name OHIO ENDOVASCULAR, LLC
Street 1950 NILES-CORTLAND RD NE SUITE 12
City WARREN
State OH
ZIP 44484
Phone 330 282-6301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Physician Office
Lab Director EUGENE V. VITVITSKY

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