36D1087514 CLIA NUMBER - UNIVERSITY HOSPITALS MEDICAL GROUP DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 36D1087514
  • Facility Name: UNIVERSITY HOSPITALS MEDICAL GROUP DERMATOLOGY
  • Facility Address: 8819 COMMONS BLVD STE 202
    TWINSBURG, OH
    ZIP 44087
  • Facility Phone: 216 844-7394
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ARI KONHEIM
  • NPI Number: 1013030881
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1087514
LAB Type Physician Office
Facility Name UNIVERSITY HOSPITALS MEDICAL GROUP DERMATOLOGY
Street 8819 COMMONS BLVD STE 202
City TWINSBURG
State OH
ZIP 44087
Phone 216 844-7394
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Physician Office
Lab Director ARI KONHEIM

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