36D0688597 CLIA NUMBER - FAIRLAWN FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 36D0688597
  • Facility Name: FAIRLAWN FAMILY PRACTICE
  • Facility Address: 50 NORTH MILLER ROAD
    FAIRLAWN, OH
    ZIP 44333
  • Facility Phone: 330 836-9721
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: EDWARD PARISI
  • NPI Number: 1306970058
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0688597
LAB Type Physician Office
Facility Name FAIRLAWN FAMILY PRACTICE
Street 50 NORTH MILLER ROAD
City FAIRLAWN
State OH
ZIP 44333
Phone 330 836-9721
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Physician Office
Lab Director EDWARD PARISI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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