36D1031194 CLIA NUMBER - RIDGEPARK FAMILY PRACTICE INC

Laboratory Demographics

  • CLIA Code: 36D1031194
  • Facility Name: RIDGEPARK FAMILY PRACTICE INC
  • Facility Address: 5500 RIDGE RD STE 120
    PARMA, OH
    ZIP 44129
  • Facility Phone: 216 398-5535
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIANE KUSHNAR
  • NPI Number: 1932386919
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D1031194
LAB Type Physician Office
Facility Name RIDGEPARK FAMILY PRACTICE INC
Street 5500 RIDGE RD STE 120
City PARMA
State OH
ZIP 44129
Phone 216 398-5535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director DIANE KUSHNAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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