36D2307428 CLIA NUMBER - SUMMA PHYSICIANS-SHMG PULMONARY

Laboratory Demographics

  • CLIA Code: 36D2307428
  • Facility Name: SUMMA PHYSICIANS-SHMG PULMONARY
  • Facility Address: 91 5TH STREET SE
    BARBERTON, OH
    ZIP 44203
  • Facility Phone: 330 753-1383
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MASROOR MUSTAFA
  • NPI Number: 1285874107
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D2307428
LAB Type Physician Office
Facility Name SUMMA PHYSICIANS-SHMG PULMONARY
Street 91 5TH STREET SE
City BARBERTON
State OH
ZIP 44203
Phone 330 753-1383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director MASROOR MUSTAFA

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