36D2323817 CLIA NUMBER - HOCKING VALLEY COMMUNITY HOSPITAL

Laboratory Demographics

  • CLIA Code: 36D2323817
  • Facility Name: HOCKING VALLEY COMMUNITY HOSPITAL
  • Facility Address: 819 STATE ROUTE 664 N
    LOGAN, OH
    ZIP 43138
  • Facility Phone: 740 380-8140
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANSHUMAN SWAIN
  • NPI Number: 1801994827
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2323817
LAB Type Physician Office
Facility Name HOCKING VALLEY COMMUNITY HOSPITAL
Street 819 STATE ROUTE 664 N
City LOGAN
State OH
ZIP 43138
Phone 740 380-8140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director ANSHUMAN SWAIN

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