36D2234654 CLIA NUMBER - MITCHELL DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 36D2234654
  • Facility Name: MITCHELL DERMATOLOGY
  • Facility Address: 815 COMMERCE DRIVE
    PERRYSBURG, OH
    ZIP 43551
  • Facility Phone: 419 872-4673
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HOPE T. MITCHELL
  • NPI Number: 1811178254
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 36D2234654
LAB Type Physician Office
Facility Name MITCHELL DERMATOLOGY
Street 815 COMMERCE DRIVE
City PERRYSBURG
State OH
ZIP 43551
Phone 419 872-4673
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director HOPE T. MITCHELL

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