36D0929864 CLIA NUMBER - GLICKMAN UROLOGICAL & KIDNEY INSTITUTE AT MERCY, CANTON

Laboratory Demographics

  • CLIA Code: 36D0929864
  • Facility Name: GLICKMAN UROLOGICAL & KIDNEY INSTITUTE AT MERCY, CANTON
  • Facility Address: 1330 MERCY DRIVE NW, SUITE 510
    CANTON, OH
    ZIP 44708
  • Facility Phone: 216 618-1519
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN OCHA
  • NPI Number: 1912081878
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 36D0929864
LAB Type Physician Office
Facility Name GLICKMAN UROLOGICAL & KIDNEY INSTITUTE AT MERCY, CANTON
Street 1330 MERCY DRIVE NW, SUITE 510
City CANTON
State OH
ZIP 44708
Phone 216 618-1519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Physician Office
Lab Director STEVEN OCHA

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