36D0930435 CLIA NUMBER - HOLLOWOOD HOUSE

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CLIA Record

Field Name Field Value
CLIA Number 36D0930435
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name HOLLOWOOD HOUSE
Street 3717 ALESIA KAE DRIVE
City BRUNSWICK
State OH
ZIP 44212
Phone 330 273-5494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director DENISE POZDERAC

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