36D0665627 CLIA NUMBER - SURGERY CENTER OF SOUTHWEST GENERAL, THE

Laboratory Demographics

CLIA Number: 36D0665627

Facility Name: SURGERY CENTER OF SOUTHWEST GENERAL, THE

Facility Address:
19250 EAST BAGLEY ROAD
CLEVELAND, OH
ZIP 44130
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Facility Phone Number: 440 826-3240

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1821095910

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D0665627
LAB Type	Ambulatory Surgery Center
Facility Name	SURGERY CENTER OF SOUTHWEST GENERAL, THE
Street	19250 EAST BAGLEY ROAD
City	CLEVELAND
State	OH
ZIP	44130
Phone	440 826-3240
CertificateType	4
CertificateEffectiveDate	11/23/2022
CertificateExpirationDate	11/22/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024