36D2299306 CLIA NUMBER - JORDAN COMMUNITY RESIDENTIAL CENTER

Laboratory Demographics

  • CLIA Code: 36D2299306
  • Facility Name: JORDAN COMMUNITY RESIDENTIAL CENTER
  • Facility Address: 30851 EUCLID AVE
    WILLOUGHBY, OH
    ZIP 44094
  • Facility Phone: 216 441-2496
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: FELICIA HARRIS
  • NPI Number: 1467098822
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 36D2299306
LAB Type Community Clinic
Facility Name JORDAN COMMUNITY RESIDENTIAL CENTER
Street 30851 EUCLID AVE
City WILLOUGHBY
State OH
ZIP 44094
Phone 216 441-2496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Community Clinic
Lab Director FELICIA HARRIS

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