36D0865415 CLIA NUMBER - APPLEWOOD HOUSE

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Field Name	Field Value
CLIA Number	36D0865415
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	APPLEWOOD HOUSE
Street	3787 APPLEWOOD DR
City	BRUNSWICK
State	OH
ZIP	44212
Phone	216 273-4999
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	9/1/2024
Certificate Expiration Date	8/31/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	DENISE T. POZDERAC

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