36D2194994 CLIA NUMBER - JOURNEY TO HEALTH AND WELLNESS, LLC

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Laboratory Demographics

CLIA Number: 36D2194994

Facility Name: JOURNEY TO HEALTH AND WELLNESS, LLC

Facility Address:
5319 MEADOW LANE COURT, SUITE 2
SHEFFIELD VILLAGE, OH
ZIP 44035
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Facility Phone Number: 440 368-6302

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1669088332

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2194994
LAB Type	Practitioner Other
Facility Name	JOURNEY TO HEALTH AND WELLNESS, LLC
Street	5319 MEADOW LANE COURT, SUITE 2
City	SHEFFIELD VILLAGE
State	OH
ZIP	44035
Phone	440 368-6302
CertificateType	4
CertificateEffectiveDate	10/6/2022
CertificateExpirationDate	10/5/2024
FacilityType	Waiver

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