36D0334951 CLIA NUMBER - JAYE E BENJAMIN MD

Laboratory Demographics

  • CLIA Code: 36D0334951
  • Facility Name: JAYE E BENJAMIN MD
  • Facility Address: 36060 EUCLID AVENUE SUITE 202
    WILLOUGHBY, OH
    ZIP 44094
  • Facility Phone: 440 942-4226
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAYE E. BENJAMIN MD
  • NPI Number: 1649252743
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 36D0334951
LAB Type Physician Office
Facility Name JAYE E BENJAMIN MD
Street 36060 EUCLID AVENUE SUITE 202
City WILLOUGHBY
State OH
ZIP 44094
Phone 440 942-4226
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director JAYE E. BENJAMIN MD

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