36D2146542 CLIA NUMBER - STELLA MARIS, INC SUPPORTIVE HOUSING

Laboratory Demographics

  • CLIA Code: 36D2146542
  • Facility Name: STELLA MARIS, INC SUPPORTIVE HOUSING
  • Facility Address: 1292 WINSLOW
    CLEVELAND, OH
    ZIP 44113
  • Facility Phone: 216 781-0550
  • Facility Type: Other - SUPPORTIVE HOUSING FACILI
  • Facility Type: Waiver
  • Lab Director: CAROLE A. NEGUS
  • NPI Number: 1487927802
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2146542
LAB Type Other - SUPPORTIVE HOUSING FACILI
Facility Name STELLA MARIS, INC SUPPORTIVE HOUSING
Street 1292 WINSLOW
City CLEVELAND
State OH
ZIP 44113
Phone 216 781-0550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Other - SUPPORTIVE HOUSING FACILI
Lab Director CAROLE A. NEGUS

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