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

Laboratory Demographics

CLIA Number: 36D2175564

Facility Name: CASE CENTER FOR SURGERY & ENDOSCOPY, LLC

Facility Address:
512 N CABLE ROAD
LIMA, OH
ZIP 45805
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Facility Phone Number: 419 229-0000

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1356901995

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	11/22/2023
CertificateExpirationDate	11/21/2025
FacilityType	Waiver

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