36D2100108 CLIA NUMBER - NORTHEAST OHIO HOSPICE

Laboratory Demographics

  • CLIA Code: 36D2100108
  • Facility Name: NORTHEAST OHIO HOSPICE
  • Facility Address: 10204 GRANGER ROAD
    GARFIELD HEIGHTS, OH
    ZIP 44125
  • Facility Phone: 216 472-2684
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MARYKATHLEEN HURT
  • NPI Number: 1386178341
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 36D2100108
LAB Type Hospice
Facility Name NORTHEAST OHIO HOSPICE
Street 10204 GRANGER ROAD
City GARFIELD HEIGHTS
State OH
ZIP 44125
Phone 216 472-2684
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Hospice
Lab Director MARYKATHLEEN HURT

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