36D0933557 CLIA NUMBER - CLEVELAND CLINIC WAIVED WOOSTER

Laboratory Demographics

  • CLIA Code: 36D0933557
  • Facility Name: CLEVELAND CLINIC WAIVED WOOSTER
  • Facility Address: 1740 CLEVELAND RD
    WOOSTER, OH
    ZIP 44691
  • Facility Phone: 330 287-4500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDMUNDS REINEKS
  • NPI Number: 1912346990
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0933557
LAB Type Physician Office
Facility Name CLEVELAND CLINIC WAIVED WOOSTER
Street 1740 CLEVELAND RD
City WOOSTER
State OH
ZIP 44691
Phone 330 287-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Physician Office
Lab Director EDMUNDS REINEKS

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