36D2231169 CLIA NUMBER - LMHS MEDICAL PARK PRIMARY AND SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 36D2231169
  • Facility Name: LMHS MEDICAL PARK PRIMARY AND SPECIALTY CARE
  • Facility Address: 525 N EASTOWN RD, SUITE 102
    LIMA, OH
    ZIP 45807
  • Facility Phone: 419 998-8214
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLENN A. BRYANT
  • NPI Number: 1124680509
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D2231169
LAB Type Physician Office
Facility Name LMHS MEDICAL PARK PRIMARY AND SPECIALTY CARE
Street 525 N EASTOWN RD, SUITE 102
City LIMA
State OH
ZIP 45807
Phone 419 998-8214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Physician Office
Lab Director GLENN A. BRYANT

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