36D1013368 CLIA NUMBER - INTERNAL MEDICINE CLINIC LTD

Laboratory Demographics

  • CLIA Code: 36D1013368
  • Facility Name: INTERNAL MEDICINE CLINIC LTD
  • Facility Address: 335 OXFORD STREET
    DOVER, OH
    ZIP 44622
  • Facility Phone: 330 364-7551
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAAZ AHMED MD
  • NPI Number: 1659467512
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1013368
LAB Type Physician Office
Facility Name INTERNAL MEDICINE CLINIC LTD
Street 335 OXFORD STREET
City DOVER
State OH
ZIP 44622
Phone 330 364-7551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director MAAZ AHMED MD

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