36D2320698 CLIA NUMBER - WGT GROUP LLC

Laboratory Demographics

  • CLIA Code: 36D2320698
  • Facility Name: WGT GROUP LLC
  • Facility Address: 815 SUPERIOR AVENUE, SUITE 1618
    CLEVELAND, OH
    ZIP 44114
  • Facility Phone: 866 238-8230
  • Facility Type: Other - DIAGNOSTIC TESTING
  • Facility Type: Waiver
  • Lab Director: LATONYA P. HANNIBAL
  • NPI Number: 1336933274
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2320698
LAB Type Other - DIAGNOSTIC TESTING
Facility Name WGT GROUP LLC
Street 815 SUPERIOR AVENUE, SUITE 1618
City CLEVELAND
State OH
ZIP 44114
Phone 866 238-8230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Other - DIAGNOSTIC TESTING
Lab Director LATONYA P. HANNIBAL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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