36D1053383 CLIA NUMBER - KEWA LI MD INTERNAL MEDICINE INC

Laboratory Demographics

  • CLIA Code: 36D1053383
  • Facility Name: KEWA LI MD INTERNAL MEDICINE INC
  • Facility Address: 2931 DONNYLANE BOULEVARD
    COLUMBUS, OH
    ZIP 43235
  • Facility Phone: 614 760-0622
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEWA LI MD
  • NPI Number: 1104896711
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1053383
LAB Type Physician Office
Facility Name KEWA LI MD INTERNAL MEDICINE INC
Street 2931 DONNYLANE BOULEVARD
City COLUMBUS
State OH
ZIP 43235
Phone 614 760-0622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type Physician Office
Lab Director KEWA LI MD

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