36D2218137 CLIA NUMBER - MOGADORE EYECARE, LLC

Laboratory Demographics

  • CLIA Code: 36D2218137
  • Facility Name: MOGADORE EYECARE, LLC
  • Facility Address: 67 S CLEVELAND AVE
    MOGADORE, OH
    ZIP 44260
  • Facility Phone: 330 551-5024
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SHANNON N. HONEYCUTT
  • NPI Number: 1356437214
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 36D2218137
LAB Type Practitioner Other
Facility Name MOGADORE EYECARE, LLC
Street 67 S CLEVELAND AVE
City MOGADORE
State OH
ZIP 44260
Phone 330 551-5024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Practitioner Other
Lab Director SHANNON N. HONEYCUTT

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