36D0953815 CLIA NUMBER - MENTOR SURGERY CENTER LTD

Laboratory Demographics

  • CLIA Code: 36D0953815
  • Facility Name: MENTOR SURGERY CENTER LTD
  • Facility Address: 9485 MENTOR AVENUE SUITE 1
    MENTOR, OH
    ZIP 44060
  • Facility Phone: 440 205-5467
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TRACY A. PETERS
  • NPI Number: 1417958729
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0953815
LAB Type Ambulatory Surgery Center
Facility Name MENTOR SURGERY CENTER LTD
Street 9485 MENTOR AVENUE SUITE 1
City MENTOR
State OH
ZIP 44060
Phone 440 205-5467
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Ambulatory Surgery Center
Lab Director TRACY A. PETERS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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