36D0330041 CLIA NUMBER - MATERNOHIO CLINICAL ASSOCIATES INC DBA KINGSDALE GYNECOLOGIC ASSOCIATES INC

Laboratory Demographics

  • CLIA Code: 36D0330041
  • Facility Name: MATERNOHIO CLINICAL ASSOCIATES INC DBA KINGSDALE GYNECOLOGIC ASSOCIATES INC
  • Facility Address: 1315 WEST LANE AVENUE
    COLUMBUS, OH
    ZIP 43221
  • Facility Phone: 614 457-4827
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. VALERIE BUSICK
  • NPI Number: 1013008192
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 36D0330041
LAB Type Physician Office
Facility Name MATERNOHIO CLINICAL ASSOCIATES INC DBA KINGSDALE GYNECOLOGIC ASSOCIATES INC
Street 1315 WEST LANE AVENUE
City COLUMBUS
State OH
ZIP 43221
Phone 614 457-4827
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 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Physician Office
Lab Director DR. VALERIE BUSICK

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