36D0903342 CLIA NUMBER - NORTH SHORE ENDOSCOPY CENTER

Laboratory Demographics

CLIA Number: 36D0903342

Facility Name: NORTH SHORE ENDOSCOPY CENTER

Facility Address:
850 COLUMBIA ROAD SUITE 200
WESTLAKE, OH
ZIP 44145
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Facility Phone Number: 440 808-1212

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1093206138

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	36D0903342
LAB Type	Ambulatory Surgery Center
Facility Name	NORTH SHORE ENDOSCOPY CENTER
Street	850 COLUMBIA ROAD SUITE 200
City	WESTLAKE
State	OH
ZIP	44145
Phone	440 808-1212
CertificateType	4
CertificateEffectiveDate	8/29/2023
CertificateExpirationDate	8/28/2025
FacilityType	Waiver

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