36D2315002 CLIA NUMBER - EASTWEST PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 36D2315002
  • Facility Name: EASTWEST PRIMARY CARE, LLC
  • Facility Address: 6789 RIDGE ROAD, SUITE 105
    PARMA, OH
    ZIP 44129
  • Facility Phone: 440 299-3100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER J. THOMAS
  • NPI Number: 1144042474
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2315002
LAB Type Physician Office
Facility Name EASTWEST PRIMARY CARE, LLC
Street 6789 RIDGE ROAD, SUITE 105
City PARMA
State OH
ZIP 44129
Phone 440 299-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director CHRISTOPHER J. THOMAS

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