36D0330485 CLIA NUMBER - MOUNT CARMEL MEDICAL GROUP SEDALIA

Laboratory Demographics

  • CLIA Code: 36D0330485
  • Facility Name: MOUNT CARMEL MEDICAL GROUP SEDALIA
  • Facility Address: 5345 HENDRON ROAD
    GROVEPORT, OH
    ZIP 43125
  • Facility Phone: 614 627-1670
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVID G. TILLERY
  • NPI Number: 1932124823
  • Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 36D0330485
LAB Type Physician Office
Facility Name MOUNT CARMEL MEDICAL GROUP SEDALIA
Street 5345 HENDRON ROAD
City GROVEPORT
State OH
ZIP 43125
Phone 614 627-1670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director DR. DAVID G. TILLERY

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