36D1003990 CLIA NUMBER - VIKRAM KUMAR MD INC

Laboratory Demographics

  • CLIA Code: 36D1003990
  • Facility Name: VIKRAM KUMAR MD INC
  • Facility Address: 673 EAST RIVER STREET
    ELYRIA, OH
    ZIP 44035
  • Facility Phone: 440 322-0872
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIKRAM KUMAR
  • NPI Number: 1073740775
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1003990
LAB Type Physician Office
Facility Name VIKRAM KUMAR MD INC
Street 673 EAST RIVER STREET
City ELYRIA
State OH
ZIP 44035
Phone 440 322-0872
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director VIKRAM KUMAR

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