36D2263174 CLIA NUMBER - SUMMA HEALTH MEDICAL GROUP ROOTSTOWN URGENT CARE

Laboratory Demographics

  • CLIA Code: 36D2263174
  • Facility Name: SUMMA HEALTH MEDICAL GROUP ROOTSTOWN URGENT CARE
  • Facility Address: 4211 STATE ROUTE 44
    ROOTSTOWN, OH
    ZIP 44272
  • Facility Phone: 234 867-7107
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ELENI DIMITRIADIS
  • NPI Number: 1427009638
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 36D2263174
LAB Type Practitioner Other
Facility Name SUMMA HEALTH MEDICAL GROUP ROOTSTOWN URGENT CARE
Street 4211 STATE ROUTE 44
City ROOTSTOWN
State OH
ZIP 44272
Phone 234 867-7107
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Practitioner Other
Lab Director ELENI DIMITRIADIS

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