36D0334800 CLIA NUMBER - GLENBEIGH

Laboratory Demographics

  • CLIA Code: 36D0334800
  • Facility Name: GLENBEIGH
  • Facility Address: 2863 STATE ROUTE 45
    ROCK CREEK, OH
    ZIP 44084
  • Facility Phone: 440 563-3400
  • Facility Type: Other - OUTPT SUBSTANCE ABUSE CTR
  • Facility Type: Waiver
  • Lab Director: THEODORE V. PARRAN
  • NPI Number: 1790761922
  • Taxonomy: 284300000X - Special Hospital

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CLIA Record

Field Name Field Value
CLIA Number 36D0334800
LAB Type Other - OUTPT SUBSTANCE ABUSE CTR
Facility Name GLENBEIGH
Street 2863 STATE ROUTE 45
City ROCK CREEK
State OH
ZIP 44084
Phone 440 563-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - OUTPT SUBSTANCE ABUSE CTR
Lab Director THEODORE V. PARRAN

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