36D2188017 CLIA NUMBER - DEDICATED SENIOR MEDICAL CENTER MAPLE HEIGHTS

Laboratory Demographics

  • CLIA Code: 36D2188017
  • Facility Name: DEDICATED SENIOR MEDICAL CENTER MAPLE HEIGHTS
  • Facility Address: 5264 LEE ROAD
    MAPLE HEIGHTS, OH
    ZIP 44137
  • Facility Phone: 305 842-3910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GORDON CHEN
  • NPI Number: 1003445578
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 36D2188017
LAB Type Physician Office
Facility Name DEDICATED SENIOR MEDICAL CENTER MAPLE HEIGHTS
Street 5264 LEE ROAD
City MAPLE HEIGHTS
State OH
ZIP 44137
Phone 305 842-3910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Physician Office
Lab Director GORDON CHEN

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