36D0337168 CLIA NUMBER - UHMP - GREEN ROAD LAB

Laboratory Demographics

  • CLIA Code: 36D0337168
  • Facility Name: UHMP - GREEN ROAD LAB
  • Facility Address: 1611 S GREEN RD SUITE 160
    SOUTH EUCLID, OH
    ZIP 44121
  • Facility Phone: 216 337-3822
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHBOOB QUADERI
  • NPI Number: 1255542890
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0337168
LAB Type Physician Office
Facility Name UHMP - GREEN ROAD LAB
Street 1611 S GREEN RD SUITE 160
City SOUTH EUCLID
State OH
ZIP 44121
Phone 216 337-3822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director MAHBOOB QUADERI

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