36D2022826 CLIA NUMBER - STELLA MARIS INC

Laboratory Demographics

  • CLIA Code: 36D2022826
  • Facility Name: STELLA MARIS INC
  • Facility Address: 1320 WASHINGTON AVENUE
    CLEVELAND, OH
    ZIP 44113
  • Facility Phone: 216 727-2086
  • Facility Type: Other - SUBACUTE DETOX FACILITY
  • Facility Type: Waiver
  • Lab Director: CAROLE NEGUS
  • NPI Number: 1750911376
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2022826
LAB Type Other - SUBACUTE DETOX FACILITY
Facility Name STELLA MARIS INC
Street 1320 WASHINGTON AVENUE
City CLEVELAND
State OH
ZIP 44113
Phone 216 727-2086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Other - SUBACUTE DETOX FACILITY
Lab Director CAROLE NEGUS

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