36D1007825 CLIA NUMBER - SAMUEL GETACHEW MD PEDIATRICS AND ADOLESCENT MEDICINE

Laboratory Demographics

  • CLIA Code: 36D1007825
  • Facility Name: SAMUEL GETACHEW MD PEDIATRICS AND ADOLESCENT MEDICINE
  • Facility Address: 2152 REID AVENUE
    LORAIN, OH
    ZIP 44052
  • Facility Phone: 440 244-1677
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL GETACHEW MD
  • NPI Number: 1770557001
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D1007825
LAB Type Physician Office
Facility Name SAMUEL GETACHEW MD PEDIATRICS AND ADOLESCENT MEDICINE
Street 2152 REID AVENUE
City LORAIN
State OH
ZIP 44052
Phone 440 244-1677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type Physician Office
Lab Director SAMUEL GETACHEW MD

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