36D2079033 CLIA NUMBER - AVON MEDICLINIC

Laboratory Demographics

  • CLIA Code: 36D2079033
  • Facility Name: AVON MEDICLINIC
  • Facility Address: 1260 ABBE RD N
    ELYRIA, OH
    ZIP 44035
  • Facility Phone: 440 366-0455
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHUKA ONYENEKE
  • NPI Number: 1962746958
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2079033
LAB Type Physician Office
Facility Name AVON MEDICLINIC
Street 1260 ABBE RD N
City ELYRIA
State OH
ZIP 44035
Phone 440 366-0455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Physician Office
Lab Director CHUKA ONYENEKE

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