36D2183616 CLIA NUMBER - AVON SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 36D2183616
  • Facility Name: AVON SURGERY CENTER, LLC
  • Facility Address: 36991 AMERICAN WAY, SUITE 1
    AVON, OH
    ZIP 44011
  • Facility Phone: (440) 517-3760
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KELLY R. LUIPOLD
  • NPI Number: 1245868488
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2183616
LAB Type Ambulatory Surgery Center
Facility Name AVON SURGERY CENTER, LLC
Street 36991 AMERICAN WAY, SUITE 1
City AVON
State OH
ZIP 44011
Phone 4405173760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2026
Certificate Expiration Date 5/6/2028
Facility Type Ambulatory Surgery Center
Lab Director KELLY R. LUIPOLD

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This page was last updated on: 5/18/2026