36D2092141 CLIA NUMBER - PSYCH SERVICES

Laboratory Demographics

  • CLIA Code: 36D2092141
  • Facility Name: PSYCH SERVICES
  • Facility Address: 26777 LORAIN ROAD, SUITE 716
    NORTH OLMSTED, OH
    ZIP 44070
  • Facility Phone: 440 777-9200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY X. BOEHM
  • NPI Number: 1144396011
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 36D2092141
LAB Type Physician Office
Facility Name PSYCH SERVICES
Street 26777 LORAIN ROAD, SUITE 716
City NORTH OLMSTED
State OH
ZIP 44070
Phone 440 777-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Physician Office
Lab Director GREGORY X. BOEHM

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