36D2003167 CLIA NUMBER - PROTEM HOMECARE

Laboratory Demographics

  • CLIA Code: 36D2003167
  • Facility Name: PROTEM HOMECARE
  • Facility Address: 5455 BROADVIEW RD SUITE 102
    PARMA, OH
    ZIP 44134
  • Facility Phone: 216 663-8188
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ADA NWORIE
  • NPI Number: 1477637163
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2003167
LAB Type Home Health Agency
Facility Name PROTEM HOMECARE
Street 5455 BROADVIEW RD SUITE 102
City PARMA
State OH
ZIP 44134
Phone 216 663-8188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Home Health Agency
Lab Director ADA NWORIE

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