36D0682009 CLIA NUMBER - OHIOHEALTH PHYSICIAN GROUP

Laboratory Demographics

  • CLIA Code: 36D0682009
  • Facility Name: OHIOHEALTH PHYSICIAN GROUP
  • Facility Address: 1045 BEECHER CROSSING NORTH SUITE B
    GAHANNA, OH
    ZIP 43230
  • Facility Phone: 614 855-4766
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICIA A. BACON
  • NPI Number: 1043325855
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0682009
LAB Type Physician Office
Facility Name OHIOHEALTH PHYSICIAN GROUP
Street 1045 BEECHER CROSSING NORTH SUITE B
City GAHANNA
State OH
ZIP 43230
Phone 614 855-4766
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director PATRICIA A. BACON

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