36D1007342 CLIA NUMBER - YATISH GOYAL MD INC

Laboratory Demographics

  • CLIA Code: 36D1007342
  • Facility Name: YATISH GOYAL MD INC
  • Facility Address: 970 E WASHINGTON ST, STE 4D
    MEDINA, OH
    ZIP 44256
  • Facility Phone: 330 725-7277
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YATISH GOYAL MD
  • NPI Number: 1023297587
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1007342
LAB Type Physician Office
Facility Name YATISH GOYAL MD INC
Street 970 E WASHINGTON ST, STE 4D
City MEDINA
State OH
ZIP 44256
Phone 330 725-7277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director YATISH GOYAL MD

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