36D2308437 CLIA NUMBER - HOLZER MEDICAL CENTER JACKSON

Laboratory Demographics

  • CLIA Code: 36D2308437
  • Facility Name: HOLZER MEDICAL CENTER JACKSON
  • Facility Address: 500 BURLINGTON ROAD
    JACKSON, OH
    ZIP 45640
  • Facility Phone: 614 688-9268
  • Facility Type: Other - RESEARCH
  • Facility Type: Waiver
  • Lab Director: DR. LUAN K. PHAN
  • NPI Number: 1669410940
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 36D2308437
LAB Type Other - RESEARCH
Facility Name HOLZER MEDICAL CENTER JACKSON
Street 500 BURLINGTON ROAD
City JACKSON
State OH
ZIP 45640
Phone 614 688-9268
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Other - RESEARCH
Lab Director DR. LUAN K. PHAN

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