CHURCH SQUARE URGENT CARE LLC
NPI 1780528000
Clinic/Center - Urgent Care in Cleveland, OH

Active since April 16, 2026CLIA 36D2174682 · Waiver
1956 E 79TH ST, CLEVELAND, OH 44103(216) 288-0557 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Church Square Urgent Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHURCH SQUARE URGENT CARE LLC (NPI 1780528000) is a healthcare organization registered as an urgent care in Cleveland, Ohio and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through November 5, 2027 and lists Abdelrahman Abukhalil, Owner, as its authorized official.

NPPES Registry Identity

NPI1780528000
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCHURCH SQUARE URGENT CARE LLC
Location Address1956 E 79TH STCleveland, OH 44103-4270
Mailing Address14529 Puritas AveCleveland, OH 44135-2813 · (216) 288-0557
Organization SubpartNo
Authorized OfficialAbdelrahman AbukhalilOwner · (216) 288-0557
Enumeration DateApril 16, 2026
NPPES CertifiedApril 16, 2026
NPI 1780528000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1956 E 79TH ST, Cleveland, OH 44103

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2174682

Church Square Urgent Care LLC · Cleveland, OH
Active · expires Nov 5, 2027
CLIA Number36D2174682
Laboratory TypeUrgent Care Clinic
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorYazid R. Hussein
Laboratory Phone(216) 431-3733
Laboratory LocationChurch Square Urgent Care LLC1956 East 79th Street, Cleveland, OH 44103
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1956 E 79TH ST
CLEVELAND, OH 44103
Pharmacy (Community/Retail Pharmacy)
1956 E 79TH ST
CLEVELAND, OH 44103
Nurse Practitioner (Family)
1956 E 79TH ST
CLEVELAND, OH 44103
Nurse Practitioner (Family)
1956 E 79TH ST
CLEVELAND, OH 44103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Church Square Urgent Care LLC's NPI number?

The NPI number for Church Square Urgent Care LLC is 1780528000. It was assigned to this organization in the NPPES registry on April 16, 2026.

Where is Church Square Urgent Care LLC located?

Church Square Urgent Care LLC is located at 1956 E 79th St, Cleveland, OH 44103. The listed phone number is (216) 288-0557.

What is Church Square Urgent Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Church Square Urgent Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2174682) is associated with this NPI, valid through November 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Church Square Urgent Care LLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.