36D0966697 CLIA NUMBER - COMPREHENSIVE INTERNAL MEDICINE INC

Laboratory Demographics

  • CLIA Code: 36D0966697
  • Facility Name: COMPREHENSIVE INTERNAL MEDICINE INC
  • Facility Address: 3727 FRIENDSVILLE ROAD SUITE 2
    WOOSTER, OH
    ZIP 44691
  • Facility Phone: 330 202-3434
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DEBRA FAST
  • NPI Number: 1336256247
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0966697
LAB Type Physician Office
Facility Name COMPREHENSIVE INTERNAL MEDICINE INC
Street 3727 FRIENDSVILLE ROAD SUITE 2
City WOOSTER
State OH
ZIP 44691
Phone 330 202-3434
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 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Physician Office
Lab Director DEBRA FAST

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