36D2254104 CLIA NUMBER - CLEVELAND CLINIC COMMUNITY CARE CHARDON

Laboratory Demographics

CLIA Number: 36D2254104

Facility Name: CLEVELAND CLINIC COMMUNITY CARE CHARDON

Facility Address:
425 WATER ST SUITE 301
CHARDON, OH
ZIP 44024
Get Directions

Facility Phone Number: 216 618-1519

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134436140

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	36D2254104
LAB Type	Physician Office
Facility Name	CLEVELAND CLINIC COMMUNITY CARE CHARDON
Street	425 WATER ST SUITE 301
City	CHARDON
State	OH
ZIP	44024
Phone	216 618-1519
CertificateType	4
CertificateEffectiveDate	2/29/2024
CertificateExpirationDate	2/27/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024