36D1055491 CLIA NUMBER - CLEVELAND CLINIC INDEPENDENCE MOHS LAB

Laboratory Demographics

  • CLIA Code: 36D1055491
  • Facility Name: CLEVELAND CLINIC INDEPENDENCE MOHS LAB
  • Facility Address: 5001 ROCKSIDE ROAD
    INDEPENDENCE, OH
    ZIP 44131
  • Facility Phone: 216 618-1519
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JENNIFER L. LUCAS
  • NPI Number: 1467967695
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1055491
LAB Type Physician Office
Facility Name CLEVELAND CLINIC INDEPENDENCE MOHS LAB
Street 5001 ROCKSIDE ROAD
City INDEPENDENCE
State OH
ZIP 44131
Phone 216 618-1519
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director JENNIFER L. LUCAS

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