36D2241121 CLIA NUMBER - CLEVELAND DENTAL INSTITUTE

Laboratory Demographics

  • CLIA Code: 36D2241121
  • Facility Name: CLEVELAND DENTAL INSTITUTE
  • Facility Address: 4071 LEE RD STE 260
    CLEVELAND, OH
    ZIP 44128
  • Facility Phone: 216 727-0234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUJAIN AMOUD
  • NPI Number: 1225219363
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 36D2241121
LAB Type Physician Office
Facility Name CLEVELAND DENTAL INSTITUTE
Street 4071 LEE RD STE 260
City CLEVELAND
State OH
ZIP 44128
Phone 216 727-0234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Physician Office
Lab Director LUJAIN AMOUD

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