36D2149573 CLIA NUMBER - CIRCLE HEALTH SERVICES GORDON SQUARE

Laboratory Demographics

  • CLIA Code: 36D2149573
  • Facility Name: CIRCLE HEALTH SERVICES GORDON SQUARE
  • Facility Address: 5209 DETROIT AVENUE
    CLEVELAND, OH
    ZIP 44102
  • Facility Phone: 216 707-3425
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: ADRIANA WHELAN
  • NPI Number: 1760984736
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2149573
LAB Type Community Clinic
Facility Name CIRCLE HEALTH SERVICES GORDON SQUARE
Street 5209 DETROIT AVENUE
City CLEVELAND
State OH
ZIP 44102
Phone 216 707-3425
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Community Clinic
Lab Director ADRIANA WHELAN

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