36D0655792 CLIA NUMBER - ALVIS, INC

Laboratory Demographics

  • CLIA Code: 36D0655792
  • Facility Name: ALVIS, INC
  • Facility Address: 2100 STELLA COURT
    COLUMBUS, OH
    ZIP 43215
  • Facility Phone: 614 252-6196
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: SARA MCINTOSH
  • NPI Number: 1386993350
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 36D0655792
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name ALVIS, INC
Street 2100 STELLA COURT
City COLUMBUS
State OH
ZIP 43215
Phone 614 252-6196
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 Intermediate Care Facility for Mentally Retarded
Lab Director SARA MCINTOSH

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