36D2289738 CLIA NUMBER - RURAL HEALTH CLINIC OF ASHTABULA

Laboratory Demographics

  • CLIA Code: 36D2289738
  • Facility Name: RURAL HEALTH CLINIC OF ASHTABULA
  • Facility Address: 524 W 24TH ST
    ASHTABULA, OH
    ZIP 44004
  • Facility Phone: 440 496-6500
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. JAMES Y. LIN
  • NPI Number: 1134905565
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2289738
LAB Type Rural Health Clinic
Facility Name RURAL HEALTH CLINIC OF ASHTABULA
Street 524 W 24TH ST
City ASHTABULA
State OH
ZIP 44004
Phone 440 496-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2023
Certificate Expiration Date 9/13/2025
Facility Type Rural Health Clinic
Lab Director DR. JAMES Y. LIN

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This page was last updated on: 6/4/2025