36D2213747 CLIA NUMBER - MEDICAL SPA NP

Laboratory Demographics

  • CLIA Code: 36D2213747
  • Facility Name: MEDICAL SPA NP
  • Facility Address: 2686 NORTH COLUMBUS STREET SUITE 101
    LANCASTER, OH
    ZIP 43130
  • Facility Phone: 740 277-7660
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LINDSAY N. ECKLES HOFFMAN
  • NPI Number: 1225613946
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 36D2213747
LAB Type Practitioner Other
Facility Name MEDICAL SPA NP
Street 2686 NORTH COLUMBUS STREET SUITE 101
City LANCASTER
State OH
ZIP 43130
Phone 740 277-7660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Practitioner Other
Lab Director LINDSAY N. ECKLES HOFFMAN

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