36D2222704 CLIA NUMBER - CUYAHOGA COUNTY DIVERSION CENTER (CCDC)

Laboratory Demographics

  • CLIA Code: 36D2222704
  • Facility Name: CUYAHOGA COUNTY DIVERSION CENTER (CCDC)
  • Facility Address: 1804 E 55TH ST
    CLEVELAND, OH
    ZIP 44103
  • Facility Phone: 330 535-8116
  • Facility Type: Other - CCDC
  • Facility Type: Waiver
  • Lab Director: MEGAN TESTA
  • NPI Number: 1396927067
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 36D2222704
LAB Type Other - CCDC
Facility Name CUYAHOGA COUNTY DIVERSION CENTER (CCDC)
Street 1804 E 55TH ST
City CLEVELAND
State OH
ZIP 44103
Phone 330 535-8116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Other - CCDC
Lab Director MEGAN TESTA

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