36D2007713 CLIA NUMBER - VYACHESLAV ISAKOV MD

Laboratory Demographics

  • CLIA Code: 36D2007713
  • Facility Name: VYACHESLAV ISAKOV MD
  • Facility Address: 29640 EUCLID AVENUE
    WICKLIFFE, OH
    ZIP 44092
  • Facility Phone: 440 585-2221
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VYACHESLAV ISAKOV
  • NPI Number: 1407826803
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2007713
LAB Type Physician Office
Facility Name VYACHESLAV ISAKOV MD
Street 29640 EUCLID AVENUE
City WICKLIFFE
State OH
ZIP 44092
Phone 440 585-2221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Physician Office
Lab Director VYACHESLAV ISAKOV

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