36D2167861 CLIA NUMBER - EVERSIDE HEALTH BEACHWOOD SCIENCE PARK DRIVE

Laboratory Demographics

  • CLIA Code: 36D2167861
  • Facility Name: EVERSIDE HEALTH BEACHWOOD SCIENCE PARK DRIVE
  • Facility Address: 25700 SCIENCE PARK DRIVE SUITE 120
    BEACHWOOD, OH
    ZIP 44122
  • Facility Phone: 704 529-6161
  • Facility Type: Other - CHRONIC DISEASE MGT
  • Facility Type: Waiver
  • Lab Director: DEBORAH RANSBOTTOM
  • NPI Number: 1043752892
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2167861
LAB Type Other - CHRONIC DISEASE MGT
Facility Name EVERSIDE HEALTH BEACHWOOD SCIENCE PARK DRIVE
Street 25700 SCIENCE PARK DRIVE SUITE 120
City BEACHWOOD
State OH
ZIP 44122
Phone 704 529-6161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Other - CHRONIC DISEASE MGT
Lab Director DEBORAH RANSBOTTOM

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