36D2110683 CLIA NUMBER - EVERSIDE HEALTH MENTOR

Laboratory Demographics

  • CLIA Code: 36D2110683
  • Facility Name: EVERSIDE HEALTH MENTOR
  • Facility Address: 7695 MENTOR AVE
    MENTOR, OH
    ZIP 44060
  • Facility Phone: 704 529-6181
  • Facility Type: Other - CHRONIC DISEASE MGMT
  • Facility Type: Waiver
  • Lab Director: TERRY LAYMAN
  • NPI Number: 1851847222
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2110683
LAB Type Other - CHRONIC DISEASE MGMT
Facility Name EVERSIDE HEALTH MENTOR
Street 7695 MENTOR AVE
City MENTOR
State OH
ZIP 44060
Phone 704 529-6181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Other - CHRONIC DISEASE MGMT
Lab Director TERRY LAYMAN

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