36D2092930 CLIA NUMBER - COSMOPOLITAN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 36D2092930
  • Facility Name: COSMOPOLITAN DERMATOLOGY
  • Facility Address: 3461 WARRENSVILLE CENTER ROAD #100
    SHAKER HEIGHTS, OH
    ZIP 44122
  • Facility Phone: 216 417-3250
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: ANGELA O. KYEI
  • NPI Number: 1376934935
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 36D2092930
LAB Type Practitioner Other
Facility Name COSMOPOLITAN DERMATOLOGY
Street 3461 WARRENSVILLE CENTER ROAD #100
City SHAKER HEIGHTS
State OH
ZIP 44122
Phone 216 417-3250
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Practitioner Other
Lab Director ANGELA O. KYEI

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