36D0874578 CLIA NUMBER - ABCO MEDICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 36D0874578
  • Facility Name: ABCO MEDICAL CENTER LLC
  • Facility Address: 13535 DETROIT AVE SUITE #4
    LAKEWOOD, OH
    ZIP 44107
  • Facility Phone: 216 226-2626
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABDUL M. ORRA
  • NPI Number: 1023384591
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0874578
LAB Type Physician Office
Facility Name ABCO MEDICAL CENTER LLC
Street 13535 DETROIT AVE SUITE #4
City LAKEWOOD
State OH
ZIP 44107
Phone 216 226-2626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director ABDUL M. ORRA

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