36D2293635 CLIA NUMBER - NORTH SHORE GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 36D2293635
  • Facility Name: NORTH SHORE GASTROENTEROLOGY
  • Facility Address: 850 COLUMBIA ROAD, SUITE 200
    WESTLAKE, OH
    ZIP 44145
  • Facility Phone: (440) 808-1212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMED NAEM
  • NPI Number: 1639560675
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 36D2293635
LAB Type Physician Office
Facility Name NORTH SHORE GASTROENTEROLOGY
Street 850 COLUMBIA ROAD, SUITE 200
City WESTLAKE
State OH
ZIP 44145
Phone 4408081212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2025
Certificate Expiration Date 11/12/2027
Facility Type Physician Office
Lab Director MOHAMED NAEM

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