36D2293098 CLIA NUMBER - MERCY HEALTH ONSITE SERVICES SUMIRIKO

Laboratory Demographics

  • CLIA Code: 36D2293098
  • Facility Name: MERCY HEALTH ONSITE SERVICES SUMIRIKO
  • Facility Address: 318 SNIDER ROAD
    BLUFFTON, OH
    ZIP 45817
  • Facility Phone: 419 358-5376
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL HUMPHREY
  • NPI Number: 1962194571
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2293098
LAB Type Physician Office
Facility Name MERCY HEALTH ONSITE SERVICES SUMIRIKO
Street 318 SNIDER ROAD
City BLUFFTON
State OH
ZIP 45817
Phone 419 358-5376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director MICHAEL HUMPHREY

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