36D0929859 CLIA NUMBER - UH LHPG - WILLOUGHBY INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 36D0929859
  • Facility Name: UH LHPG - WILLOUGHBY INTERNAL MEDICINE
  • Facility Address: 36100 EUCLID AVE STE 240
    WILLOUGHBY, OH
    ZIP 44094
  • Facility Phone: 216 337-3822
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA BAILEY
  • NPI Number: 1720020274
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D0929859
LAB Type Physician Office
Facility Name UH LHPG - WILLOUGHBY INTERNAL MEDICINE
Street 36100 EUCLID AVE STE 240
City WILLOUGHBY
State OH
ZIP 44094
Phone 216 337-3822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director LAURA BAILEY

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