36D0330248 CLIA NUMBER - PEDIATRIC ASSOCIATES, INC

Laboratory Demographics

  • CLIA Code: 36D0330248
  • Facility Name: PEDIATRIC ASSOCIATES, INC
  • Facility Address: 1021 COUNTRY CLUB ROAD
    COLUMBUS, OH
    ZIP 43213
  • Facility Phone: 614 501-7337
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: BARBARA B. RAYO MD
  • NPI Number: 1457346090
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D0330248
LAB Type Community Clinic
Facility Name PEDIATRIC ASSOCIATES, INC
Street 1021 COUNTRY CLUB ROAD
City COLUMBUS
State OH
ZIP 43213
Phone 614 501-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Community Clinic
Lab Director BARBARA B. RAYO MD

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