36D0917937 CLIA NUMBER - STREETSBORO FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 36D0917937
  • Facility Name: STREETSBORO FIRE DEPARTMENT
  • Facility Address: 9184 STATE ROUTE 43
    STREETSBORO, OH
    ZIP 44241
  • Facility Phone: 216 626-4664
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: EDWARD R. MCCORMACK
  • NPI Number: 1013386739
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 36D0917937
LAB Type Mobile Laboratory
Facility Name STREETSBORO FIRE DEPARTMENT
Street 9184 STATE ROUTE 43
City STREETSBORO
State OH
ZIP 44241
Phone 216 626-4664
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Mobile Laboratory
Lab Director EDWARD R. MCCORMACK

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