36D2292809 CLIA NUMBER - CLEVELAND OBGYN

Laboratory Demographics

  • CLIA Code: 36D2292809
  • Facility Name: CLEVELAND OBGYN
  • Facility Address: 1028 S BROADWAY
    GENEVA, OH
    ZIP 44041
  • Facility Phone: 440 530-8197
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: AHMED SHAHATA
  • NPI Number: 1386345338
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D2292809
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CLEVELAND OBGYN
Street 1028 S BROADWAY
City GENEVA
State OH
ZIP 44041
Phone 440 530-8197
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director AHMED SHAHATA

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