15D0359631 CLIA NUMBER - COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC DBA COLUMBUS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 15D0359631
  • Facility Name: COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC DBA COLUMBUS PEDIATRICS
  • Facility Address: 2150 25TH STREET, SUITE B
    COLUMBUS, IN
    ZIP 47201
  • Facility Phone: 812 376-9219
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOLE MENSAH-PIKE
  • NPI Number: 1790156461
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D0359631
LAB Type Physician Office
Facility Name COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC DBA COLUMBUS PEDIATRICS
Street 2150 25TH STREET, SUITE B
City COLUMBUS
State IN
ZIP 47201
Phone 812 376-9219
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director NICOLE MENSAH-PIKE

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