36D2325422 CLIA NUMBER - ACCESS WELLNESS & CONSULTING, LLC

Laboratory Demographics

  • CLIA Code: 36D2325422
  • Facility Name: ACCESS WELLNESS & CONSULTING, LLC
  • Facility Address: 273 S WASHINGTON STREET
    TIFFIN, OH
    ZIP 44883
  • Facility Phone: 567 220-6048
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CHARLIE X. PALMER
  • NPI Number: 1225921067
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 36D2325422
LAB Type Practitioner Other
Facility Name ACCESS WELLNESS & CONSULTING, LLC
Street 273 S WASHINGTON STREET
City TIFFIN
State OH
ZIP 44883
Phone 567 220-6048
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Practitioner Other
Lab Director CHARLIE X. PALMER

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