36D2230837 CLIA NUMBER - CROSSROADS HEALTH

Laboratory Demographics

  • CLIA Code: 36D2230837
  • Facility Name: CROSSROADS HEALTH
  • Facility Address: 9220 MENTOR AVE
    MENTOR, OH
    ZIP 44060
  • Facility Phone: 440 354-9924
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: KELLEY L. PASTOR
  • NPI Number: 1104944339
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 36D2230837
LAB Type Community Clinic
Facility Name CROSSROADS HEALTH
Street 9220 MENTOR AVE
City MENTOR
State OH
ZIP 44060
Phone 440 354-9924
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 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Community Clinic
Lab Director KELLEY L. PASTOR

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