36D0897273 CLIA NUMBER - ERIESIDE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 36D0897273
  • Facility Name: ERIESIDE MEDICAL GROUP
  • Facility Address: 38429 LAKESHORE BLVD
    WILLOUGHBY, OH
    ZIP 44094
  • Facility Phone: 440 918-6274
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WINSTON HO
  • NPI Number: 1891751657
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0897273
LAB Type Physician Office
Facility Name ERIESIDE MEDICAL GROUP
Street 38429 LAKESHORE BLVD
City WILLOUGHBY
State OH
ZIP 44094
Phone 440 918-6274
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 WINSTON HO

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