36D2190309 CLIA NUMBER - MUSKINGUM UNIVERSITY

Laboratory Demographics

  • CLIA Code: 36D2190309
  • Facility Name: MUSKINGUM UNIVERSITY
  • Facility Address: 260 STADIUM DRIVE
    NEW CONCORD, OH
    ZIP 43762
  • Facility Phone: 740 826-8150
  • Facility Type: Other - UNIVERSITY
  • Facility Type: Waiver
  • Lab Director: SARAH L. YOUNG-DICKSON
  • NPI Number: 1316616188
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2190309
LAB Type Other - UNIVERSITY
Facility Name MUSKINGUM UNIVERSITY
Street 260 STADIUM DRIVE
City NEW CONCORD
State OH
ZIP 43762
Phone 740 826-8150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Other - UNIVERSITY
Lab Director SARAH L. YOUNG-DICKSON

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