Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
36D2297419
|
|
Clinical laboratory number
|
|
Lab Name
|
LAKEVIEW WELLNESS
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
419-732-2614
|
|
Laboratory telephone number
|
|
Fax
|
419-734-0106
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
619 FULTON ST, SUITE 200
|
|
Primary location adress line
|
|
City
|
PORT CLINTON
|
|
Primary location city name
|
|
State
|
OH
|
|
Primary location state name
|
|
Zip
|
43452
|
|
Primary location postal code
|