36D0891014 CLIA NUMBER - PREMIER PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 36D0891014
  • Facility Name: PREMIER PEDIATRICS INC
  • Facility Address: 26040 DETROIT ROAD SUITE 7
    WESTLAKE, OH
    ZIP 44145
  • Facility Phone: 440 871-1717
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN B. BENNET II
  • NPI Number: 1629194147
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0891014
LAB Type Physician Office
Facility Name PREMIER PEDIATRICS INC
Street 26040 DETROIT ROAD SUITE 7
City WESTLAKE
State OH
ZIP 44145
Phone 440 871-1717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director JOHN B. BENNET II

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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