36D0953822 CLIA NUMBER - CENTER FOR ADVANCED EYE SURGERY

Laboratory Demographics

  • CLIA Code: 36D0953822
  • Facility Name: CENTER FOR ADVANCED EYE SURGERY
  • Facility Address: 1031 W WESTERN RESERVE ROAD
    POLAND, OH
    ZIP 44514
  • Facility Phone: 330 746-7691
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LYN E. YAKUBOV
  • NPI Number: 1689657058
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0953822
LAB Type Ambulatory Surgery Center
Facility Name CENTER FOR ADVANCED EYE SURGERY
Street 1031 W WESTERN RESERVE ROAD
City POLAND
State OH
ZIP 44514
Phone 330 746-7691
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 LYN E. YAKUBOV

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