36D2169214 CLIA NUMBER - SUMMA HEALTH MEDICAL GROUP PRIDE CLINIC

Laboratory Demographics

  • CLIA Code: 36D2169214
  • Facility Name: SUMMA HEALTH MEDICAL GROUP PRIDE CLINIC
  • Facility Address: 1260 INDEPENDENCE AVE
    AKRON, OH
    ZIP 44310
  • Facility Phone: 234 867-7740
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT T. HAMLER
  • NPI Number: 1225046709
  • Taxonomy: 273R00000X - Psychiatric Unit

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CLIA Record

Field Name Field Value
CLIA Number 36D2169214
LAB Type Physician Office
Facility Name SUMMA HEALTH MEDICAL GROUP PRIDE CLINIC
Street 1260 INDEPENDENCE AVE
City AKRON
State OH
ZIP 44310
Phone 234 867-7740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Physician Office
Lab Director SCOTT T. HAMLER

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