36D0942065 CLIA NUMBER - INTERNAL MEDICINE OF GREEN

Laboratory Demographics

  • CLIA Code: 36D0942065
  • Facility Name: INTERNAL MEDICINE OF GREEN
  • Facility Address: 3593 S ARLINGTON RD SUITE A
    AKRON, OH
    ZIP 44312
  • Facility Phone: 330 899-9070
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL D. WELLS
  • NPI Number: 1619119575
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0942065
LAB Type Physician Office
Facility Name INTERNAL MEDICINE OF GREEN
Street 3593 S ARLINGTON RD SUITE A
City AKRON
State OH
ZIP 44312
Phone 330 899-9070
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 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Physician Office
Lab Director MICHAEL D. WELLS

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