36D0678962 CLIA NUMBER - PORTSMOUTH INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 36D0678962
  • Facility Name: PORTSMOUTH INTERNAL MEDICINE
  • Facility Address: 2001 SCIOTO TRAIL, SUITE 200
    PORTSMOUTH, OH
    ZIP 45662
  • Facility Phone: 740 354-8837
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD E. ARRICK
  • NPI Number: 1104816859
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0678962
LAB Type Physician Office
Facility Name PORTSMOUTH INTERNAL MEDICINE
Street 2001 SCIOTO TRAIL, SUITE 200
City PORTSMOUTH
State OH
ZIP 45662
Phone 740 354-8837
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 Physician Office
Lab Director RONALD E. ARRICK

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