36D1008180 CLIA NUMBER - UHMP ROCKSIDE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 36D1008180
  • Facility Name: UHMP ROCKSIDE INTERNAL MEDICINE
  • Facility Address: 88 CENTER STREET, SUITE 250A
    BEDFORD, OH
    ZIP 44146
  • Facility Phone: 216 336-3822
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TAMAR BEJANISHVILI
  • NPI Number: 1366573529
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1008180
LAB Type Physician Office
Facility Name UHMP ROCKSIDE INTERNAL MEDICINE
Street 88 CENTER STREET, SUITE 250A
City BEDFORD
State OH
ZIP 44146
Phone 216 336-3822
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 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Physician Office
Lab Director TAMAR BEJANISHVILI

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