36D2009338 CLIA NUMBER - CHARDON SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 36D2009338
  • Facility Name: CHARDON SURGERY CENTER
  • Facility Address: 150 SEVENTH AVENUE
    CHARDON, OH
    ZIP 44024
  • Facility Phone: 440 285-2900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOANNE MOLICA
  • NPI Number: 1730409400
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2009338
LAB Type Ambulatory Surgery Center
Facility Name CHARDON SURGERY CENTER
Street 150 SEVENTH AVENUE
City CHARDON
State OH
ZIP 44024
Phone 440 285-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Ambulatory Surgery Center
Lab Director JOANNE MOLICA

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