36D2226824 CLIA NUMBER - EVERSIDE HEALTH - WAPAKONETA

Laboratory Demographics

  • CLIA Code: 36D2226824
  • Facility Name: EVERSIDE HEALTH - WAPAKONETA
  • Facility Address: 5 N BLACKHOOF STREET
    WAPAKONETA, OH
    ZIP 45895
  • Facility Phone: 866 808-6005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONDER NARTKER
  • NPI Number: 1558936609
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2226824
LAB Type Physician Office
Facility Name EVERSIDE HEALTH - WAPAKONETA
Street 5 N BLACKHOOF STREET
City WAPAKONETA
State OH
ZIP 45895
Phone 866 808-6005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director RONDER NARTKER

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