36D1045724 CLIA NUMBER - PROGRESSIVE INTERNAL MEDICINE INC

Laboratory Demographics

  • CLIA Code: 36D1045724
  • Facility Name: PROGRESSIVE INTERNAL MEDICINE INC
  • Facility Address: 38 REMICK BOULEVARD
    SPRINGBORO, OH
    ZIP 45066
  • Facility Phone: 937 886-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMAN KHOSLA MD
  • NPI Number: 1184619207
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1045724
LAB Type Physician Office
Facility Name PROGRESSIVE INTERNAL MEDICINE INC
Street 38 REMICK BOULEVARD
City SPRINGBORO
State OH
ZIP 45066
Phone 937 886-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Physician Office
Lab Director RAMAN KHOSLA MD

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