36D2123609 CLIA NUMBER - SOUTHWOODS CARDIOLOGY

Laboratory Demographics

  • CLIA Code: 36D2123609
  • Facility Name: SOUTHWOODS CARDIOLOGY
  • Facility Address: 250 DEBARTOLO PLACE SUITE 2750
    YOUNGSTOWN, OH
    ZIP 44512
  • Facility Phone: 330 729-8234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH GRAZIANO
  • NPI Number: 1508894213
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 36D2123609
LAB Type Physician Office
Facility Name SOUTHWOODS CARDIOLOGY
Street 250 DEBARTOLO PLACE SUITE 2750
City YOUNGSTOWN
State OH
ZIP 44512
Phone 330 729-8234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Physician Office
Lab Director JOSEPH GRAZIANO

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