36D2026418 CLIA NUMBER - PREMIER PHYSICIANS CENTERS INC

Laboratory Demographics

  • CLIA Code: 36D2026418
  • Facility Name: PREMIER PHYSICIANS CENTERS INC
  • Facility Address: 25200 CENTER RIDGE ROAD SUITE 3300
    WESTLAKE, OH
    ZIP 44145
  • Facility Phone: 440 331-5973
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HABIB KHOURY
  • NPI Number: 1417318809
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 36D2026418
LAB Type Physician Office
Facility Name PREMIER PHYSICIANS CENTERS INC
Street 25200 CENTER RIDGE ROAD SUITE 3300
City WESTLAKE
State OH
ZIP 44145
Phone 440 331-5973
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director HABIB KHOURY

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