36D0883214 CLIA NUMBER - RACHEL M GARBER MD DBA UNIVERSITY SUBURBAN PEDIATRICS

Laboratory Demographics

CLIA Number: 36D0883214

Facility Name: RACHEL M GARBER MD DBA UNIVERSITY SUBURBAN PEDIATRICS

Facility Address:
1611 S GREEN ROAD SUITE 034
SOUTH EUCLID, OH
ZIP 44121
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Facility Phone Number: 216 297-2700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982120077

Taxonomy: 101YA0400X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	36D0883214
LAB Type	Physician Office
Facility Name	RACHEL M GARBER MD DBA UNIVERSITY SUBURBAN PEDIATRICS
Street	1611 S GREEN ROAD SUITE 034
City	SOUTH EUCLID
State	OH
ZIP	44121
Phone	216 297-2700
CertificateType	4
CertificateEffectiveDate	9/26/2022
CertificateExpirationDate	9/25/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024