36D2154620 CLIA NUMBER - LAKE POINT MEDICAL GROUP, LLC

Laboratory Demographics

  • CLIA Code: 36D2154620
  • Facility Name: LAKE POINT MEDICAL GROUP, LLC
  • Facility Address: 15800 DETROIT AVE
    LAKEWOOD, OH
    ZIP 44107
  • Facility Phone: 216 226-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE M. KHURI
  • NPI Number: 1235646191
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 36D2154620
LAB Type Physician Office
Facility Name LAKE POINT MEDICAL GROUP, LLC
Street 15800 DETROIT AVE
City LAKEWOOD
State OH
ZIP 44107
Phone 216 226-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director GEORGE M. KHURI

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