36D2281613 CLIA NUMBER - HOLZER HOSPITAL FOUNDATION DBA HOLZER, COMMUNITY MEDICINE

Laboratory Demographics

  • CLIA Code: 36D2281613
  • Facility Name: HOLZER HOSPITAL FOUNDATION DBA HOLZER, COMMUNITY MEDICINE
  • Facility Address: 340 FOURTH AVENUE
    GALLIPOLIS, OH
    ZIP 45631
  • Facility Phone: 740 446-5555
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JOHN ELLISON
  • NPI Number: 1700805421
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2281613
LAB Type School/Student Health Service
Facility Name HOLZER HOSPITAL FOUNDATION DBA HOLZER, COMMUNITY MEDICINE
Street 340 FOURTH AVENUE
City GALLIPOLIS
State OH
ZIP 45631
Phone 740 446-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type School/Student Health Service
Lab Director JOHN ELLISON

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