36D2246039 CLIA NUMBER - ALLSTAR EXPRESS DIAGNOSTIC

Laboratory Demographics

  • CLIA Code: 36D2246039
  • Facility Name: ALLSTAR EXPRESS DIAGNOSTIC
  • Facility Address: 4859 DOVER CENTER RD, SUITE 6
    NORTH OLMSTED, OH
    ZIP 44070
  • Facility Phone: 440 471-4181
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: CHARNITA HAIRSTON
  • NPI Number: 1467105296
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 36D2246039
LAB Type Independent
Facility Name ALLSTAR EXPRESS DIAGNOSTIC
Street 4859 DOVER CENTER RD, SUITE 6
City NORTH OLMSTED
State OH
ZIP 44070
Phone 440 471-4181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Independent
Lab Director CHARNITA HAIRSTON

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