36D2193612 CLIA NUMBER - COLLIER MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 36D2193612
  • Facility Name: COLLIER MEDICAL SERVICES
  • Facility Address: 1661 ST RTE 522, UNITS 2 & 3
    WHEELERSBURG, OH
    ZIP 45694
  • Facility Phone: 740 574-8738
  • Facility Type: Other - PRIMARY CARE, OCC HEALTH
  • Facility Type: Waiver
  • Lab Director: MELISSA J. KILPATRICK
  • NPI Number: 1164023677
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2193612
LAB Type Other - PRIMARY CARE, OCC HEALTH
Facility Name COLLIER MEDICAL SERVICES
Street 1661 ST RTE 522, UNITS 2 & 3
City WHEELERSBURG
State OH
ZIP 45694
Phone 740 574-8738
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Other - PRIMARY CARE, OCC HEALTH
Lab Director MELISSA J. KILPATRICK

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