36D2133737 CLIA NUMBER - PREMIER PHYSICIANS CENTERS, INC

Laboratory Demographics

  • CLIA Code: 36D2133737
  • Facility Name: PREMIER PHYSICIANS CENTERS, INC
  • Facility Address: 21851 CENTER RIDGE ROAD SUITE 107
    ROCKY RIVER, OH
    ZIP 44116
  • Facility Phone: 216 221-7642
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GASAN NEMR
  • NPI Number: 1922301555
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2133737
LAB Type Physician Office
Facility Name PREMIER PHYSICIANS CENTERS, INC
Street 21851 CENTER RIDGE ROAD SUITE 107
City ROCKY RIVER
State OH
ZIP 44116
Phone 216 221-7642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Physician Office
Lab Director GASAN NEMR

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