36D2240649 CLIA NUMBER - NORTH CREEK, LLC

Laboratory Demographics

  • CLIA Code: 36D2240649
  • Facility Name: NORTH CREEK, LLC
  • Facility Address: 910 SOUTH STREET
    GREENFIELD, OH
    ZIP 45123
  • Facility Phone: 877 997-3224
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LESLIE M. STEGALL
  • NPI Number: 1457858797
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 36D2240649
LAB Type Practitioner Other
Facility Name NORTH CREEK, LLC
Street 910 SOUTH STREET
City GREENFIELD
State OH
ZIP 45123
Phone 877 997-3224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2023
Certificate Expiration Date 10/20/2025
Facility Type Practitioner Other
Lab Director LESLIE M. STEGALL

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