36D0699157 CLIA NUMBER - A & S KHANDELWAL MD INC

Laboratory Demographics

  • CLIA Code: 36D0699157
  • Facility Name: A & S KHANDELWAL MD INC
  • Facility Address: 970 E WASHINGTON ST SUITE 2F
    MEDINA, OH
    ZIP 44256
  • Facility Phone: 330 723-7999
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANAND SHOBHA V. KHANDELWAL
  • NPI Number: 1487702718
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0699157
LAB Type Physician Office
Facility Name A & S KHANDELWAL MD INC
Street 970 E WASHINGTON ST SUITE 2F
City MEDINA
State OH
ZIP 44256
Phone 330 723-7999
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ANAND SHOBHA V. KHANDELWAL

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