36D0866899 CLIA NUMBER - UNIVERSITY GEORGIAN MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 36D0866899
  • Facility Name: UNIVERSITY GEORGIAN MEDICAL GROUP
  • Facility Address: 730 SOM CENTER ROAD, SUITE 230
    MAYFIELD VILLAGE, OH
    ZIP 44143
  • Facility Phone: 440 646-2663
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: YORAM MOYAL
  • NPI Number: 1669673612
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0866899
LAB Type Physician Office
Facility Name UNIVERSITY GEORGIAN MEDICAL GROUP
Street 730 SOM CENTER ROAD, SUITE 230
City MAYFIELD VILLAGE
State OH
ZIP 44143
Phone 440 646-2663
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director YORAM MOYAL

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