36D2059671 CLIA NUMBER - MARK A LANG MD LLC

Laboratory Demographics

  • CLIA Code: 36D2059671
  • Facility Name: MARK A LANG MD LLC
  • Facility Address: 9417 BROADVIEW ROAD
    BROADVIEW HEIGHTS, OH
    ZIP 44147
  • Facility Phone: 440 545-2272
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK A. LANG
  • NPI Number: 1972508232
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2059671
LAB Type Physician Office
Facility Name MARK A LANG MD LLC
Street 9417 BROADVIEW ROAD
City BROADVIEW HEIGHTS
State OH
ZIP 44147
Phone 440 545-2272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Physician Office
Lab Director MARK A. LANG

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