36D1010839 CLIA NUMBER - CUYAHOGA COUNTY JUVENILE DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 36D1010839
  • Facility Name: CUYAHOGA COUNTY JUVENILE DETENTION CENTER
  • Facility Address: 9300 QUINCY AVE
    CLEVELAND, OH
    ZIP 44106
  • Facility Phone: 216 443-3311
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: PHILIP A. FRAGASSI
  • NPI Number: 1053702084
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1010839
LAB Type School/Student Health Service
Facility Name CUYAHOGA COUNTY JUVENILE DETENTION CENTER
Street 9300 QUINCY AVE
City CLEVELAND
State OH
ZIP 44106
Phone 216 443-3311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type School/Student Health Service
Lab Director PHILIP A. FRAGASSI

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