36D0724871 CLIA NUMBER - ADEBOWALE A ADEDIPE MD INC

Laboratory Demographics

  • CLIA Code: 36D0724871
  • Facility Name: ADEBOWALE A ADEDIPE MD INC
  • Facility Address: 11201 SHAKER BLVD #338
    CLEVELAND, OH
    ZIP 44104
  • Facility Phone: 216 368-7910
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ADEBOWALE ADEDIPE MD
  • NPI Number: 1821087271
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D0724871
LAB Type Physician Office
Facility Name ADEBOWALE A ADEDIPE MD INC
Street 11201 SHAKER BLVD #338
City CLEVELAND
State OH
ZIP 44104
Phone 216 368-7910
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 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Physician Office
Lab Director ADEBOWALE ADEDIPE MD

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