36D1017662 CLIA NUMBER - NORTH SHORE ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 36D1017662
  • Facility Name: NORTH SHORE ENDOSCOPY CENTER
  • Facility Address: 7580 NORTHCLIFF AVE SUITE 1000
    BROOKLYN, OH
    ZIP 44144
  • Facility Phone: 440 808-1212
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JOHN O. TULLY
  • NPI Number: 1467474585
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1017662
LAB Type Ambulatory Surgery Center
Facility Name NORTH SHORE ENDOSCOPY CENTER
Street 7580 NORTHCLIFF AVE SUITE 1000
City BROOKLYN
State OH
ZIP 44144
Phone 440 808-1212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. JOHN O. TULLY

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