36D0693516 CLIA NUMBER - MARYMOUNT HOSPITAL PULMONARY LAB

Laboratory Demographics

  • CLIA Code: 36D0693516
  • Facility Name: MARYMOUNT HOSPITAL PULMONARY LAB
  • Facility Address: 12300 MC CRACKEN ROAD MAC1-577
    GARFIELD HEIGHTS, OH
    ZIP 44125
  • Facility Phone: 216 581-0500
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. DEBASIS SAHOO
  • NPI Number: 1679511463
  • Taxonomy: 273R00000X - Psychiatric Unit

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0693516
LAB Type Hospital
Facility Name MARYMOUNT HOSPITAL PULMONARY LAB
Street 12300 MC CRACKEN ROAD MAC1-577
City GARFIELD HEIGHTS
State OH
ZIP 44125
Phone 216 581-0500
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Hospital
Lab Director DR. DEBASIS SAHOO

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