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36D2193612 CLIA NUMBER - COLLIER MEDICAL SERVICES

Laboratory Demographics

CLIA Number: 36D2193612

Facility Name: COLLIER MEDICAL SERVICES

Facility Address:
1661 ST RTE 522, UNITS 2 & 3
WHEELERSBURG, OH
ZIP 45694
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Facility Phone Number: 740 574-8738

Facility Type: Other - PRIMARY CARE, OCC HEALTH

Certificate Type: Waiver
NPI Number: 1164023677

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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
CertificateType 4
CertificateEffectiveDate 9/23/2022
CertificateExpirationDate 9/22/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024