36D2189311 CLIA NUMBER - CLEVELAND CLINIC COMMUNITY PEDIATRICS, FAIRLAWN

Laboratory Demographics

  • CLIA Code: 36D2189311
  • Facility Name: CLEVELAND CLINIC COMMUNITY PEDIATRICS, FAIRLAWN
  • Facility Address: 2603 W MARKET ST STE 210
    FAIRLAWN, OH
    ZIP 44313
  • Facility Phone: 216 445-0085
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDMUNDS REINEKS
  • NPI Number: 1629519731
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 36D2189311
LAB Type Physician Office
Facility Name CLEVELAND CLINIC COMMUNITY PEDIATRICS, FAIRLAWN
Street 2603 W MARKET ST STE 210
City FAIRLAWN
State OH
ZIP 44313
Phone 216 445-0085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Physician Office
Lab Director EDMUNDS REINEKS

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