36D2026418 CLIA NUMBER - PREMIER PHYSICIANS CENTERS INC

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Laboratory Demographics

CLIA Number: 36D2026418

Facility Name: PREMIER PHYSICIANS CENTERS INC

Facility Address:
25200 CENTER RIDGE ROAD SUITE 3300
WESTLAKE, OH
ZIP 44145
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Facility Phone Number: 440 331-5973

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417318809

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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
CertificateType	4
CertificateEffectiveDate	6/30/2023
CertificateExpirationDate	6/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024