36D2055885 CLIA NUMBER - FAIRVIEW EYE CENTER

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Laboratory Demographics

CLIA Number: 36D2055885

Facility Name: FAIRVIEW EYE CENTER

Facility Address:
21375 LORAIN RD
FAIRVIEW PARK, OH
ZIP 44126
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Facility Phone Number: 440 333-3060

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407989759

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2055885
LAB Type	Physician Office
Facility Name	FAIRVIEW EYE CENTER
Street	21375 LORAIN RD
City	FAIRVIEW PARK
State	OH
ZIP	44126
Phone	440 333-3060
CertificateType	4
CertificateEffectiveDate	3/19/2023
CertificateExpirationDate	3/18/2025
FacilityType	Waiver

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