36D0866062 CLIA NUMBER - KISHOR PATEL MD

Laboratory Demographics

  • CLIA Code: 36D0866062
  • Facility Name: KISHOR PATEL MD
  • Facility Address: 21851 CENTER RIDGE RD STE 405
    ROCKY RIVER, OH
    ZIP 44116
  • Facility Phone: 216 221-2127
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KISHOR PATEL
  • NPI Number: 1073613626
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0866062
LAB Type Physician Office
Facility Name KISHOR PATEL MD
Street 21851 CENTER RIDGE RD STE 405
City ROCKY RIVER
State OH
ZIP 44116
Phone 216 221-2127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director KISHOR PATEL

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