36D0328232 CLIA NUMBER - NORTHRIDGE FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 36D0328232
  • Facility Name: NORTHRIDGE FAMILY PRACTICE LLC
  • Facility Address: 610 NORTHRIDGE ROAD
    CIRCLEVILLE, OH
    ZIP 43113
  • Facility Phone: 740 474-3159
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: JOHN G. BOHLEN MD
  • NPI Number: 1669453189
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0328232
LAB Type Practitioner Other
Facility Name NORTHRIDGE FAMILY PRACTICE LLC
Street 610 NORTHRIDGE ROAD
City CIRCLEVILLE
State OH
ZIP 43113
Phone 740 474-3159
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/4/2023
Certificate Expiration Date 9/3/2025
Facility Type Practitioner Other
Lab Director JOHN G. BOHLEN MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025