36D0865418 CLIA NUMBER - JOSEPHINE HOUSE

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CLIA Record

Field Name Field Value
CLIA Number 36D0865418
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name JOSEPHINE HOUSE
Street 2039 JOSEPHINE BLVD
City BRUNSWICK
State OH
ZIP 44212
Phone 216 225-6969
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