36D2126007 CLIA NUMBER - DR MIODRAG ZIVIC, LLC

Laboratory Demographics

  • CLIA Code: 36D2126007
  • Facility Name: DR MIODRAG ZIVIC, LLC
  • Facility Address: 99 NORTHLINE CIRCLE, SUITE 215
    EUCLID, OH
    ZIP 44119
  • Facility Phone: 216 383-2834
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIODRAG V. ZIVIC
  • NPI Number: 1437557782
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2126007
LAB Type Physician Office
Facility Name DR MIODRAG ZIVIC, LLC
Street 99 NORTHLINE CIRCLE, SUITE 215
City EUCLID
State OH
ZIP 44119
Phone 216 383-2834
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Physician Office
Lab Director MIODRAG V. ZIVIC

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This page was last updated on: 6/4/2025