36D2303064 CLIA NUMBER - HOMETOWN URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 36D2303064
  • Facility Name: HOMETOWN URGENT CARE LLC
  • Facility Address: 1301 BOARDMAN POLAND RD
    POLAND, OH
    ZIP 44514
  • Facility Phone: 937 702-9684
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: CAROL BLAND
  • NPI Number: 1487713194
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2303064
LAB Type Other - URGENT CARE
Facility Name HOMETOWN URGENT CARE LLC
Street 1301 BOARDMAN POLAND RD
City POLAND
State OH
ZIP 44514
Phone 937 702-9684
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Other - URGENT CARE
Lab Director CAROL BLAND

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