36D2124827 CLIA NUMBER - PIONEER PHYSICIANS NETWORK/SPRINGSIDE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 36D2124827
  • Facility Name: PIONEER PHYSICIANS NETWORK/SPRINGSIDE INTERNAL MEDICINE
  • Facility Address: 150 SPRINGSIDE DRIVE SUITE C-320
    FAIRLAWN, OH
    ZIP 44333
  • Facility Phone: 330 899-9350
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY ECKMAN
  • NPI Number: 1558651026
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 36D2124827
LAB Type Physician Office
Facility Name PIONEER PHYSICIANS NETWORK/SPRINGSIDE INTERNAL MEDICINE
Street 150 SPRINGSIDE DRIVE SUITE C-320
City FAIRLAWN
State OH
ZIP 44333
Phone 330 899-9350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director JEFFREY ECKMAN

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