36D2156433 CLIA NUMBER - ELITE MEDICAL PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 36D2156433
  • Facility Name: ELITE MEDICAL PRACTICE, LLC
  • Facility Address: 21851 CENTER RIDGE RD #109
    ROCKY RIVER, OH
    ZIP 44116
  • Facility Phone: 440 331-5488
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMILE I. SABBAGH
  • NPI Number: 1730674037
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2156433
LAB Type Physician Office
Facility Name ELITE MEDICAL PRACTICE, LLC
Street 21851 CENTER RIDGE RD #109
City ROCKY RIVER
State OH
ZIP 44116
Phone 440 331-5488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director EMILE I. SABBAGH

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