36D2297252 CLIA NUMBER - RIVER VALLEY PHYSICIANS INTERNAL MEDICINE 2

Laboratory Demographics

  • CLIA Code: 36D2297252
  • Facility Name: RIVER VALLEY PHYSICIANS INTERNAL MEDICINE 2
  • Facility Address: 130 WEST FOURTH STREET
    EAST LIVERPOOL, OH
    ZIP 43920
  • Facility Phone: 330 385-7977
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER KINNEAR
  • NPI Number: 1720166044
  • Taxonomy: 247100000X - Radiologic Technologist

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CLIA Record

Field Name Field Value
CLIA Number 36D2297252
LAB Type Physician Office
Facility Name RIVER VALLEY PHYSICIANS INTERNAL MEDICINE 2
Street 130 WEST FOURTH STREET
City EAST LIVERPOOL
State OH
ZIP 43920
Phone 330 385-7977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Physician Office
Lab Director CHRISTOPHER KINNEAR

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