36D0866246 CLIA NUMBER - RAE-ANN SUBURBAN

Laboratory Demographics

  • CLIA Code: 36D0866246
  • Facility Name: RAE-ANN SUBURBAN
  • Facility Address: 29505 DETROIT ROAD
    WESTLAKE, OH
    ZIP 44145
  • Facility Phone: 440 871-5181
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN S. GRIFFITHS
  • NPI Number: 1306176623
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 36D0866246
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RAE-ANN SUBURBAN
Street 29505 DETROIT ROAD
City WESTLAKE
State OH
ZIP 44145
Phone 440 871-5181
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 Skilled Nursing Facility/Nursing Facility
Lab Director JOHN S. GRIFFITHS

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