36D0902894 CLIA NUMBER - SUSHIL K JAIN MD INC

Laboratory Demographics

  • CLIA Code: 36D0902894
  • Facility Name: SUSHIL K JAIN MD INC
  • Facility Address: 5041 VICTOR DRIVE UNIT C
    MEDINA, OH
    ZIP 44256
  • Facility Phone: 330 723-3338
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSHIL K. JAIN MD
  • NPI Number: 1538147152
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0902894
LAB Type Physician Office
Facility Name SUSHIL K JAIN MD INC
Street 5041 VICTOR DRIVE UNIT C
City MEDINA
State OH
ZIP 44256
Phone 330 723-3338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Physician Office
Lab Director SUSHIL K. JAIN MD

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