36D2156477 CLIA NUMBER - STAFFORD SERVICES, INC

Laboratory Demographics

CLIA Number: 36D2156477

Facility Name: STAFFORD SERVICES, INC

Facility Address:
12380 PLAZA DR
PARMA, OH
ZIP 44130
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Facility Phone Number: 216 898-8488

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1679542021

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	36D2156477
LAB Type	Practitioner Other
Facility Name	STAFFORD SERVICES, INC
Street	12380 PLAZA DR
City	PARMA
State	OH
ZIP	44130
Phone	216 898-8488
CertificateType	4
CertificateEffectiveDate	10/18/2022
CertificateExpirationDate	10/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024