36D2264920 CLIA NUMBER - ID CONSULTANTS, INC MIDDLEBURG HEIGHTS

Laboratory Demographics

  • CLIA Code: 36D2264920
  • Facility Name: ID CONSULTANTS, INC MIDDLEBURG HEIGHTS
  • Facility Address: 18100 JEFFERSON PARK RD SUITE 106
    MIDDLEBURG HEIGHTS, OH
    ZIP 44130
  • Facility Phone: 216 628-7050
  • Facility Type: Other - INFUSION CENTER
  • Facility Type: Waiver
  • Lab Director: LEEANN PURTTHIPATKOOL
  • NPI Number: 1124058920
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2264920
LAB Type Other - INFUSION CENTER
Facility Name ID CONSULTANTS, INC MIDDLEBURG HEIGHTS
Street 18100 JEFFERSON PARK RD SUITE 106
City MIDDLEBURG HEIGHTS
State OH
ZIP 44130
Phone 216 628-7050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Other - INFUSION CENTER
Lab Director LEEANN PURTTHIPATKOOL

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