36D0945463 CLIA NUMBER - UHMP - BRUNSWICK RHEUMATOLOGY & INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 36D0945463
  • Facility Name: UHMP - BRUNSWICK RHEUMATOLOGY & INTERNAL MEDICINE
  • Facility Address: 4065 CENTER RD STE 210
    BRUNSWICK, OH
    ZIP 44212
  • Facility Phone: 330 220-8411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIE KUCHYNSKI
  • NPI Number: 1588788657
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0945463
LAB Type Physician Office
Facility Name UHMP - BRUNSWICK RHEUMATOLOGY & INTERNAL MEDICINE
Street 4065 CENTER RD STE 210
City BRUNSWICK
State OH
ZIP 44212
Phone 330 220-8411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MARIE KUCHYNSKI

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