36D2188699 CLIA NUMBER - GLASS CITY OB/GYN, LLC

Laboratory Demographics

  • CLIA Code: 36D2188699
  • Facility Name: GLASS CITY OB/GYN, LLC
  • Facility Address: 1319 E MAIN ST
    LANCASTER, OH
    ZIP 43130
  • Facility Phone: 740 687-2229
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SEAN N. JERIG
  • NPI Number: 1124649504
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D2188699
LAB Type Physician Office
Facility Name GLASS CITY OB/GYN, LLC
Street 1319 E MAIN ST
City LANCASTER
State OH
ZIP 43130
Phone 740 687-2229
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director SEAN N. JERIG

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