36D2297682 CLIA NUMBER - BOARDMAN CLINIC

Laboratory Demographics

  • CLIA Code: 36D2297682
  • Facility Name: BOARDMAN CLINIC
  • Facility Address: 7000 SOUTH AVE STE 6
    BOARDMAN, OH
    ZIP 44512
  • Facility Phone: 330 507-0625
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN C. IGWE
  • NPI Number: 1316728264
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2297682
LAB Type Physician Office
Facility Name BOARDMAN CLINIC
Street 7000 SOUTH AVE STE 6
City BOARDMAN
State OH
ZIP 44512
Phone 330 507-0625
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director JOHN C. IGWE

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