36D2321034 CLIA NUMBER - CECILIA HOLISTIC & WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 36D2321034
  • Facility Name: CECILIA HOLISTIC & WELLNESS CENTER
  • Facility Address: 2053 WEST 95TH STREET
    CLEVELAND, OH
    ZIP 44102
  • Facility Phone: 840 256-9307
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JAZSMINE LOVELACE
  • NPI Number: 1629870324
  • Taxonomy: 172V00000X - Community Health Worker

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CLIA Record

Field Name Field Value
CLIA Number 36D2321034
LAB Type Rural Health Clinic
Facility Name CECILIA HOLISTIC & WELLNESS CENTER
Street 2053 WEST 95TH STREET
City CLEVELAND
State OH
ZIP 44102
Phone 840 256-9307
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Rural Health Clinic
Lab Director JAZSMINE LOVELACE

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