36D2096504 CLIA NUMBER - EMILY PROGRAM CLEVELAND, THE RESIDENTIAL

Laboratory Demographics

  • CLIA Code: 36D2096504
  • Facility Name: EMILY PROGRAM CLEVELAND, THE RESIDENTIAL
  • Facility Address: 2141 OVERLOOK RD
    CLEVELAND HEIGHTS, OH
    ZIP 44106
  • Facility Phone: 888 364-5977
  • Facility Type: Other - RESIDENTIAL EATING DISORD
  • Facility Type: Waiver
  • Lab Director: SARAH BERGEN
  • NPI Number: 1528165065
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2096504
LAB Type Other - RESIDENTIAL EATING DISORD
Facility Name EMILY PROGRAM CLEVELAND, THE RESIDENTIAL
Street 2141 OVERLOOK RD
City CLEVELAND HEIGHTS
State OH
ZIP 44106
Phone 888 364-5977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Other - RESIDENTIAL EATING DISORD
Lab Director SARAH BERGEN

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