36D0329202 CLIA NUMBER - NATIONAL CHURCH RESIDENCES FIRST COMMUNITY VILLAGE

Laboratory Demographics

  • CLIA Code: 36D0329202
  • Facility Name: NATIONAL CHURCH RESIDENCES FIRST COMMUNITY VILLAGE
  • Facility Address: 1800 RIVERSIDE DRIVE
    COLUMBUS, OH
    ZIP 43212
  • Facility Phone: 614 487-3999
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEBRA BLAIR
  • NPI Number: 1457334476
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0329202
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NATIONAL CHURCH RESIDENCES FIRST COMMUNITY VILLAGE
Street 1800 RIVERSIDE DRIVE
City COLUMBUS
State OH
ZIP 43212
Phone 614 487-3999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DEBRA BLAIR

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