36D2244326 CLIA NUMBER - CLEVELAND CLINIC MEDICAL OUTPATIENT CENTER CONCORD

Laboratory Demographics

  • CLIA Code: 36D2244326
  • Facility Name: CLEVELAND CLINIC MEDICAL OUTPATIENT CENTER CONCORD
  • Facility Address: 7519 FREDLE DRIVE
    CONCORD TOWNSHIP, OH
    ZIP 44077
  • Facility Phone: 216 618-1519
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUZANNE ENGEL-KOMINSKY
  • NPI Number: 1821109976
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2244326
LAB Type Physician Office
Facility Name CLEVELAND CLINIC MEDICAL OUTPATIENT CENTER CONCORD
Street 7519 FREDLE DRIVE
City CONCORD TOWNSHIP
State OH
ZIP 44077
Phone 216 618-1519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Physician Office
Lab Director SUZANNE ENGEL-KOMINSKY

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This page was last updated on: 6/4/2025