36D2033009 CLIA NUMBER - LEE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 36D2033009
  • Facility Name: LEE SURGERY CENTER LLC
  • Facility Address: 8135 MARKET STREET
    BOARDMAN, OH
    ZIP 44512
  • Facility Phone: 330 758-0900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TAC Z. LEE
  • NPI Number: 1407131949
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2033009
LAB Type Ambulatory Surgery Center
Facility Name LEE SURGERY CENTER LLC
Street 8135 MARKET STREET
City BOARDMAN
State OH
ZIP 44512
Phone 330 758-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Ambulatory Surgery Center
Lab Director TAC Z. LEE

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