36D1009172 CLIA NUMBER - UHMP - EUCLID INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 36D1009172
  • Facility Name: UHMP - EUCLID INTERNAL MEDICINE
  • Facility Address: 18599 LAKE SHORE BLVD STE 400
    EUCLID, OH
    ZIP 44119
  • Facility Phone: 216 383-5303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER D'AMICO
  • NPI Number: 1336278308
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1009172
LAB Type Physician Office
Facility Name UHMP - EUCLID INTERNAL MEDICINE
Street 18599 LAKE SHORE BLVD STE 400
City EUCLID
State OH
ZIP 44119
Phone 216 383-5303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director CHRISTOPHER D'AMICO

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