36D0974636 CLIA NUMBER - CLEVELAND CLINIC MERCY HOSPITAL INTERNAL MEDICINE AND PEDS STARK

Laboratory Demographics

  • CLIA Code: 36D0974636
  • Facility Name: CLEVELAND CLINIC MERCY HOSPITAL INTERNAL MEDICINE AND PEDS STARK
  • Facility Address: 4575 STEPHEN CIRCLE NW
    CANTON, OH
    ZIP 44718
  • Facility Phone: 330 499-2986
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KARIN T. RIGGS
  • NPI Number: 1528073368
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0974636
LAB Type Physician Office
Facility Name CLEVELAND CLINIC MERCY HOSPITAL INTERNAL MEDICINE AND PEDS STARK
Street 4575 STEPHEN CIRCLE NW
City CANTON
State OH
ZIP 44718
Phone 330 499-2986
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Physician Office
Lab Director KARIN T. RIGGS

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