36D0338075 CLIA NUMBER - KEYHAN MOBASSERI MD

Laboratory Demographics

  • CLIA Code: 36D0338075
  • Facility Name: KEYHAN MOBASSERI MD
  • Facility Address: 5158 BROADWAY AVENUE
    CLEVELAND, OH
    ZIP 44127
  • Facility Phone: 216 441-5474
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEYHAN MOBASSERI
  • NPI Number: 1144233636
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D0338075
LAB Type Physician Office
Facility Name KEYHAN MOBASSERI MD
Street 5158 BROADWAY AVENUE
City CLEVELAND
State OH
ZIP 44127
Phone 216 441-5474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Physician Office
Lab Director KEYHAN MOBASSERI

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