36D2299730 CLIA NUMBER - ANGELA ROGERS FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 36D2299730
  • Facility Name: ANGELA ROGERS FAMILY PRACTICE LLC
  • Facility Address: 1134 HAGER STREET
    ST MARYS, OH
    ZIP 45885
  • Facility Phone: 419 300-1077
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANGELA ROGERS
  • NPI Number: 1679338388
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2299730
LAB Type Practitioner Other
Facility Name ANGELA ROGERS FAMILY PRACTICE LLC
Street 1134 HAGER STREET
City ST MARYS
State OH
ZIP 45885
Phone 419 300-1077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Practitioner Other
Lab Director ANGELA ROGERS

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