36D2283546 CLIA NUMBER - MINDREDO

Laboratory Demographics

  • CLIA Code: 36D2283546
  • Facility Name: MINDREDO
  • Facility Address: 7320 STATE ROUTE 108
    WAUSEON, OH
    ZIP 43567
  • Facility Phone: 419 285-6655
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA GREER
  • NPI Number: 1497386148
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2283546
LAB Type Physician Office
Facility Name MINDREDO
Street 7320 STATE ROUTE 108
City WAUSEON
State OH
ZIP 43567
Phone 419 285-6655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Physician Office
Lab Director LISA GREER

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