36D0912921 CLIA NUMBER - MYOCARE NURSING HOME INC DBA WESTPARK HEALTHCARE CAMPUS

Laboratory Demographics

  • CLIA Code: 36D0912921
  • Facility Name: MYOCARE NURSING HOME INC DBA WESTPARK HEALTHCARE CAMPUS
  • Facility Address: 4401 WEST 150TH STREET
    CLEVELAND, OH
    ZIP 44135
  • Facility Phone: 216 252-7555
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ELIAS J. COURY
  • NPI Number: 1497731541
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0912921
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MYOCARE NURSING HOME INC DBA WESTPARK HEALTHCARE CAMPUS
Street 4401 WEST 150TH STREET
City CLEVELAND
State OH
ZIP 44135
Phone 216 252-7555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ELIAS J. COURY

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