36D0873360 CLIA NUMBER - NORTHERN OHIO MEDICAL SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 36D0873360
  • Facility Name: NORTHERN OHIO MEDICAL SPECIALISTS, LLC
  • Facility Address: 6701 ROCKSIDE RD SUITE 100
    INDEPENDENCE, OH
    ZIP 44131
  • Facility Phone: 216 328-0418
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEYYAPPAN SOMASUNDARAM
  • NPI Number: 1568917003
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 36D0873360
LAB Type Physician Office
Facility Name NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Street 6701 ROCKSIDE RD SUITE 100
City INDEPENDENCE
State OH
ZIP 44131
Phone 216 328-0418
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Physician Office
Lab Director MEYYAPPAN SOMASUNDARAM

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