36D0714892 CLIA NUMBER - SOUTHWEST GENERAL MEDICAL GROUP BALDWIN WALLACE STUDENT HEALTH

Laboratory Demographics

  • CLIA Code: 36D0714892
  • Facility Name: SOUTHWEST GENERAL MEDICAL GROUP BALDWIN WALLACE STUDENT HEALTH
  • Facility Address: 207 BEECH STREET
    BEREA, OH
    ZIP 44017
  • Facility Phone: 440 816-2266
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: LINDA FLORIAN
  • NPI Number: 1730157272
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0714892
LAB Type School/Student Health Service
Facility Name SOUTHWEST GENERAL MEDICAL GROUP BALDWIN WALLACE STUDENT HEALTH
Street 207 BEECH STREET
City BEREA
State OH
ZIP 44017
Phone 440 816-2266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type School/Student Health Service
Lab Director LINDA FLORIAN

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