36D1049882 CLIA NUMBER - MARYMOUNT AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 36D1049882
  • Facility Name: MARYMOUNT AMBULATORY SURGERY CENTER
  • Facility Address: 5555 TRANSPORTATION BLVD 2ND FL
    GARFIELD HEIGHTS, OH
    ZIP 44125
  • Facility Phone: 216 518-3200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN GEORGE
  • NPI Number: 1043367618
  • Taxonomy: 133V00000X - Dietitian, Registered

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CLIA Record

Field Name Field Value
CLIA Number 36D1049882
LAB Type Ambulatory Surgery Center
Facility Name MARYMOUNT AMBULATORY SURGERY CENTER
Street 5555 TRANSPORTATION BLVD 2ND FL
City GARFIELD HEIGHTS
State OH
ZIP 44125
Phone 216 518-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Ambulatory Surgery Center
Lab Director JOHN GEORGE

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