36D2279119 CLIA NUMBER - EQUITAS HEALTH

Laboratory Demographics

CLIA Number: 36D2279119

Facility Name: EQUITAS HEALTH

Facility Address:
636 W EXCHANGE ST
AKRON, OH
ZIP 44302
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Facility Phone Number: 833 378-4627

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1467150086

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 36D2279119
LAB Type Physician Office
Facility Name EQUITAS HEALTH
Street 636 W EXCHANGE ST
City AKRON
State OH
ZIP 44302
Phone 833 378-4627
CertificateType 3
CertificateEffectiveDate 3/29/2023
CertificateExpirationDate 3/28/2025
FacilityType PPMP

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This page was last updated on: 4/23/2024