36D2177492 CLIA NUMBER - LMHS INTERNAL MEDICINE MAIN CAMPUS

Laboratory Demographics

  • CLIA Code: 36D2177492
  • Facility Name: LMHS INTERNAL MEDICINE MAIN CAMPUS
  • Facility Address: 1005 BELLEFONTAINE AVENUE, SUITE 345
    LIMA, OH
    ZIP 45804
  • Facility Phone: 419 229-3362
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEMI AZEEZ
  • NPI Number: 1376593822
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2177492
LAB Type Physician Office
Facility Name LMHS INTERNAL MEDICINE MAIN CAMPUS
Street 1005 BELLEFONTAINE AVENUE, SUITE 345
City LIMA
State OH
ZIP 45804
Phone 419 229-3362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Physician Office
Lab Director KEMI AZEEZ

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