36D2175564 CLIA NUMBER - CASE CENTER FOR SURGERY & ENDOSCOPY, LLC

Laboratory Demographics

  • CLIA Code: 36D2175564
  • Facility Name: CASE CENTER FOR SURGERY & ENDOSCOPY, LLC
  • Facility Address: 512 N CABLE ROAD
    LIMA, OH
    ZIP 45805
  • Facility Phone: 419 229-0000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VEN KOTTAPALLI
  • NPI Number: 1356901995
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2175564
LAB Type Ambulatory Surgery Center
Facility Name CASE CENTER FOR SURGERY & ENDOSCOPY, LLC
Street 512 N CABLE ROAD
City LIMA
State OH
ZIP 45805
Phone 419 229-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Ambulatory Surgery Center
Lab Director VEN KOTTAPALLI

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