36D0336188 CLIA NUMBER - GIUSEPPE ANTONELLI MD

Laboratory Demographics

  • CLIA Code: 36D0336188
  • Facility Name: GIUSEPPE ANTONELLI MD
  • Facility Address: 6789 RIDGE ROAD SUITE 108
    PARMA, OH
    ZIP 44129
  • Facility Phone: 440 743-7100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GIUSEPPE ANTONELLI MD
  • NPI Number: 1912976473
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0336188
LAB Type Physician Office
Facility Name GIUSEPPE ANTONELLI MD
Street 6789 RIDGE ROAD SUITE 108
City PARMA
State OH
ZIP 44129
Phone 440 743-7100
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director GIUSEPPE ANTONELLI MD

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