36D2111058 CLIA NUMBER - OHIOGUIDESTONE

Laboratory Demographics

  • CLIA Code: 36D2111058
  • Facility Name: OHIOGUIDESTONE
  • Facility Address: 202 BAGLEY ROAD
    BEREA, OH
    ZIP 44017
  • Facility Phone: 440 234-2006
  • Facility Type: Other - BEH HEALTH AGENCY MH
  • Facility Type: Waiver
  • Lab Director: NICOLE T. LABOR
  • NPI Number: 1295096758
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2111058
LAB Type Other - BEH HEALTH AGENCY MH
Facility Name OHIOGUIDESTONE
Street 202 BAGLEY ROAD
City BEREA
State OH
ZIP 44017
Phone 440 234-2006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Other - BEH HEALTH AGENCY MH
Lab Director NICOLE T. LABOR

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