36D0698377 CLIA NUMBER - LUTHERAN HOSPITAL

Laboratory Demographics

CLIA Number: 36D0698377

Facility Name: LUTHERAN HOSPITAL

Facility Address:
1730 WEST 25TH STREET
CLEVELAND, OH
ZIP 44113
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Facility Phone Number: 216 363-2018

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1659839041

Taxonomy: 101YA0400X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	36D0698377
LAB Type	Hospital
Facility Name	LUTHERAN HOSPITAL
Street	1730 WEST 25TH STREET
City	CLEVELAND
State	OH
ZIP	44113
Phone	216 363-2018
CertificateType	4
CertificateEffectiveDate	12/1/2023
CertificateExpirationDate	11/30/2025
FacilityType	Waiver

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