36D2119076 CLIA NUMBER - SUMMA HEALTH MEDICAL GROUP OBSTETRICS AND GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 36D2119076
  • Facility Name: SUMMA HEALTH MEDICAL GROUP OBSTETRICS AND GYNECOLOGY
  • Facility Address: 3780 MEDINA ROAD SUITE 200
    MEDINA, OH
    ZIP 44256
  • Facility Phone: 234 867-6159
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JESSICA J. CLEMONS
  • NPI Number: 1215582705
  • Taxonomy: 261QC1800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2119076
LAB Type Physician Office
Facility Name SUMMA HEALTH MEDICAL GROUP OBSTETRICS AND GYNECOLOGY
Street 3780 MEDINA ROAD SUITE 200
City MEDINA
State OH
ZIP 44256
Phone 234 867-6159
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 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director JESSICA J. CLEMONS

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