36D2253272 CLIA NUMBER - HOMETOWN PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 36D2253272
  • Facility Name: HOMETOWN PEDIATRICS, LLC
  • Facility Address: 152 W 2ND ST
    DELPHOS, OH
    ZIP 45833
  • Facility Phone: (419) 969-2959
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THRESA L. GROTHAUS
  • NPI Number: 1992447502
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 36D2253272
LAB Type Physician Office
Facility Name HOMETOWN PEDIATRICS, LLC
Street 152 W 2ND ST
City DELPHOS
State OH
ZIP 45833
Phone 4199692959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2026
Certificate Expiration Date 2/17/2028
Facility Type Physician Office
Lab Director THRESA L. GROTHAUS

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This page was last updated on: 5/18/2026