36D2329187 CLIA NUMBER - KP MEDICAL SUPPLY LLC

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CLIA Record

Field Name Field Value
CLIA Number 36D2329187
LAB Type Independent
Facility Name KP MEDICAL SUPPLY LLC
Street 149 N PROSPECT STE 2
City RAVENNA
State OH
ZIP 44266
Phone 332 205-8825
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Independent
Lab Director MOHAMMED SYED

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