36D2246997 CLIA NUMBER - EXPRESS CARE MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 36D2246997
  • Facility Name: EXPRESS CARE MEDICAL GROUP LLC
  • Facility Address: 430 ARLINGTON ROAD, SUITE B
    BROOKVILLE, OH
    ZIP 45309
  • Facility Phone: 326 699-6100
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: ADDISON TARJANYI
  • NPI Number: 1609535251
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2246997
LAB Type Other - URGENT CARE
Facility Name EXPRESS CARE MEDICAL GROUP LLC
Street 430 ARLINGTON ROAD, SUITE B
City BROOKVILLE
State OH
ZIP 45309
Phone 326 699-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Other - URGENT CARE
Lab Director ADDISON TARJANYI

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