36D0880645 CLIA NUMBER - NORTHEAST REINTEGRATION CENTER, THE

Laboratory Demographics

  • CLIA Code: 36D0880645
  • Facility Name: NORTHEAST REINTEGRATION CENTER, THE
  • Facility Address: 2675 E 30TH ST B BUILDING MEDICAL UNIT
    CLEVELAND, OH
    ZIP 44115
  • Facility Phone: 216 777-8073
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: PAMELA L. REDDEN
  • NPI Number: 1508892878
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 36D0880645
LAB Type Prison
Facility Name NORTHEAST REINTEGRATION CENTER, THE
Street 2675 E 30TH ST B BUILDING MEDICAL UNIT
City CLEVELAND
State OH
ZIP 44115
Phone 216 777-8073
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Prison
Lab Director PAMELA L. REDDEN

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