36D2319409 CLIA NUMBER - MGH HEALTHCARE, LLC

Laboratory Demographics

  • CLIA Code: 36D2319409
  • Facility Name: MGH HEALTHCARE, LLC
  • Facility Address: 321 NILES CORTLAND ROAD NE, SUITE BC
    WARREN, OH
    ZIP 44484
  • Facility Phone: 330 355-3234
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARY G. HALL
  • NPI Number: 1184321341
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2319409
LAB Type Practitioner Other
Facility Name MGH HEALTHCARE, LLC
Street 321 NILES CORTLAND ROAD NE, SUITE BC
City WARREN
State OH
ZIP 44484
Phone 330 355-3234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Practitioner Other
Lab Director MARY G. HALL

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