36D2138229 CLIA NUMBER - CATHOLIC CHARITIES CORPORATION

Laboratory Demographics

  • CLIA Code: 36D2138229
  • Facility Name: CATHOLIC CHARITIES CORPORATION
  • Facility Address: 3135 EUCLID AVENUE SUITE 103
    CLEVELAND, OH
    ZIP 44115
  • Facility Phone: 216 391-2030
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ANGELA M. IVANCIC
  • NPI Number: 1326282161
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2138229
LAB Type Comp. Outpatient Rehab Facility
Facility Name CATHOLIC CHARITIES CORPORATION
Street 3135 EUCLID AVENUE SUITE 103
City CLEVELAND
State OH
ZIP 44115
Phone 216 391-2030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2023
Certificate Expiration Date 10/11/2025
Facility Type Comp. Outpatient Rehab Facility
Lab Director ANGELA M. IVANCIC

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