36D0988575 CLIA NUMBER - PREMIER PHYSICIANS CENTERS INC

Laboratory Demographics

  • CLIA Code: 36D0988575
  • Facility Name: PREMIER PHYSICIANS CENTERS INC
  • Facility Address: 1730 WEST 25TH STREET MAIN FLOOR
    CLEVELAND, OH
    ZIP 44113
  • Facility Phone: 216 363-2353
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAZEM NOURALDIN
  • NPI Number: 1902267354
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 36D0988575
LAB Type Physician Office
Facility Name PREMIER PHYSICIANS CENTERS INC
Street 1730 WEST 25TH STREET MAIN FLOOR
City CLEVELAND
State OH
ZIP 44113
Phone 216 363-2353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Physician Office
Lab Director HAZEM NOURALDIN

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