36D2274573 CLIA NUMBER - WEST CENTRAL OHIO UROLOGICAL CENTERS OF EXCELLENCE, LLC

Laboratory Demographics

  • CLIA Code: 36D2274573
  • Facility Name: WEST CENTRAL OHIO UROLOGICAL CENTERS OF EXCELLENCE, LLC
  • Facility Address: 2751 FT AMANDA RD
    LIMA, OH
    ZIP 45805
  • Facility Phone: 567 529-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CRAIG A. NICHOLSON
  • NPI Number: 1114100831
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 36D2274573
LAB Type Physician Office
Facility Name WEST CENTRAL OHIO UROLOGICAL CENTERS OF EXCELLENCE, LLC
Street 2751 FT AMANDA RD
City LIMA
State OH
ZIP 45805
Phone 567 529-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Physician Office
Lab Director CRAIG A. NICHOLSON

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