36D2219070 CLIA NUMBER - SUMMA HEALTH MEDICAL GROUP - STOW KENT

Laboratory Demographics

  • CLIA Code: 36D2219070
  • Facility Name: SUMMA HEALTH MEDICAL GROUP - STOW KENT
  • Facility Address: 3825 FISHCREEK RD
    STOW, OH
    ZIP 44224
  • Facility Phone: 234 867-6994
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MANVEEN MANN
  • NPI Number: 1104406800
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2219070
LAB Type Physician Office
Facility Name SUMMA HEALTH MEDICAL GROUP - STOW KENT
Street 3825 FISHCREEK RD
City STOW
State OH
ZIP 44224
Phone 234 867-6994
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director DR. MANVEEN MANN

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This page was last updated on: 3/20/2025