36D2298798 CLIA NUMBER - LORAIN AMHERST SURGERY CENTER, LLC

Laboratory Demographics

CLIA Number: 36D2298798

Facility Name: LORAIN AMHERST SURGERY CENTER, LLC

Facility Address:
915 NORTH LAKE STREET
AMHERST, OH
ZIP 44001
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Facility Phone Number: 440 634-5640

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1558053868

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2298798
LAB Type	Ambulatory Surgery Center
Facility Name	LORAIN AMHERST SURGERY CENTER, LLC
Street	915 NORTH LAKE STREET
City	AMHERST
State	OH
ZIP	44001
Phone	440 634-5640
CertificateType	4
CertificateEffectiveDate	2/8/2024
CertificateExpirationDate	2/7/2026
FacilityType	Waiver

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