36D2191994 CLIA NUMBER - PHYSICIANS REGIONAL SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 36D2191994
  • Facility Name: PHYSICIANS REGIONAL SURGERY CENTER
  • Facility Address: 103 PLAZA DR SUITE A
    SAINT CLAIRSVILLE, OH
    ZIP 43950
  • Facility Phone: 740 260-3045
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN J. ANTALIS
  • NPI Number: 1497368013
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2191994
LAB Type Ambulatory Surgery Center
Facility Name PHYSICIANS REGIONAL SURGERY CENTER
Street 103 PLAZA DR SUITE A
City SAINT CLAIRSVILLE
State OH
ZIP 43950
Phone 740 260-3045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Ambulatory Surgery Center
Lab Director JOHN J. ANTALIS

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