36D2167213 CLIA NUMBER - SIGNATURE HEALTH, INC

Laboratory Demographics

CLIA Number: 36D2167213

Facility Name: SIGNATURE HEALTH, INC

Facility Address:
24200 CHAGRIN BLVD
BEACHWOOD, OH
ZIP 44122
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Facility Phone Number: 440 578-8200

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1952810640

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 36D2167213
LAB Type Federally Qualified Health Center
Facility Name SIGNATURE HEALTH, INC
Street 24200 CHAGRIN BLVD
City BEACHWOOD
State OH
ZIP 44122
Phone 440 578-8200
CertificateType 3
CertificateEffectiveDate 6/4/2023
CertificateExpirationDate 6/3/2025
FacilityType PPMP

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