36D2312052 CLIA NUMBER - MOONEY MD LLC

Laboratory Demographics

  • CLIA Code: 36D2312052
  • Facility Name: MOONEY MD LLC
  • Facility Address: 2520 WALES AVENUE NW SUITE 220
    MASSILLON, OH
    ZIP 44646
  • Facility Phone: 330 606-6470
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MOONEY B. STEPHEN
  • NPI Number: 1073360962
  • Taxonomy: 207VE0102X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D2312052
LAB Type Physician Office
Facility Name MOONEY MD LLC
Street 2520 WALES AVENUE NW SUITE 220
City MASSILLON
State OH
ZIP 44646
Phone 330 606-6470
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director MOONEY B. STEPHEN

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