36D2325693 CLIA NUMBER - BEACHWOOD PLASTIC SURGERY AND MEDICAL SPA

Laboratory Demographics

  • CLIA Code: 36D2325693
  • Facility Name: BEACHWOOD PLASTIC SURGERY AND MEDICAL SPA
  • Facility Address: 3618 PARK EAST DRIVE
    BEACHWOOD, OH
    ZIP 44122
  • Facility Phone: 216 514-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN A. GOLDMAN
  • NPI Number: 1902782675
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2325693
LAB Type Physician Office
Facility Name BEACHWOOD PLASTIC SURGERY AND MEDICAL SPA
Street 3618 PARK EAST DRIVE
City BEACHWOOD
State OH
ZIP 44122
Phone 216 514-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Physician Office
Lab Director STEVEN A. GOLDMAN

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