36D1027641 CLIA NUMBER - ADVANCED INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 36D1027641
  • Facility Name: ADVANCED INTERNAL MEDICINE
  • Facility Address: 23250 MERCANTILE RD #140
    BEACHWOOD, OH
    ZIP 44122
  • Facility Phone: 216 464-4646
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOEL D. WEISBLAT
  • NPI Number: 1619035532
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1027641
LAB Type Physician Office
Facility Name ADVANCED INTERNAL MEDICINE
Street 23250 MERCANTILE RD #140
City BEACHWOOD
State OH
ZIP 44122
Phone 216 464-4646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director JOEL D. WEISBLAT

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