36D0684486 CLIA NUMBER - BRECKSVILLE FIRE DEPT

Laboratory Demographics

  • CLIA Code: 36D0684486
  • Facility Name: BRECKSVILLE FIRE DEPT
  • Facility Address: 9023 BRECKSVILLE ROAD
    BRECKSVILLE, OH
    ZIP 44141
  • Facility Phone: 440 526-2640
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: EDWIN EGUT CHIEF
  • NPI Number: 1477927531
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 36D0684486
LAB Type Mobile Laboratory
Facility Name BRECKSVILLE FIRE DEPT
Street 9023 BRECKSVILLE ROAD
City BRECKSVILLE
State OH
ZIP 44141
Phone 440 526-2640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Mobile Laboratory
Lab Director EDWIN EGUT CHIEF

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