36D1021410 CLIA NUMBER - GOVANI

Laboratory Demographics

  • CLIA Code: 36D1021410
  • Facility Name: GOVANI
  • Facility Address: 15644 MADISON AVENUE
    LAKEWOOD, OH
    ZIP 44107
  • Facility Phone: (216) 521-3430
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NITIN GOVANI
  • NPI Number: 1578057865
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1021410
LAB Type Physician Office
Facility Name GOVANI
Street 15644 MADISON AVENUE
City LAKEWOOD
State OH
ZIP 44107
Phone 2165213430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2026
Certificate Expiration Date 1/21/2028
Facility Type Physician Office
Lab Director NITIN GOVANI

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This page was last updated on: 5/18/2026