36D0667729 CLIA NUMBER - PEDIATRIC PLACE INC

Laboratory Demographics

  • CLIA Code: 36D0667729
  • Facility Name: PEDIATRIC PLACE INC
  • Facility Address: 3690 ORANGE PLACE #100
    BEACHWOOD, OH
    ZIP 44122
  • Facility Phone: 216 831-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAN KRIWINSKY
  • NPI Number: 1265581409
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 36D0667729
LAB Type Physician Office
Facility Name PEDIATRIC PLACE INC
Street 3690 ORANGE PLACE #100
City BEACHWOOD
State OH
ZIP 44122
Phone 216 831-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director DR. JAN KRIWINSKY

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