36D0683979 CLIA NUMBER - CENTRAL OHIO PRIMARY CARE PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 36D0683979
  • Facility Name: CENTRAL OHIO PRIMARY CARE PHYSICIANS INC
  • Facility Address: 4100 HORIZONS DRIVE
    COLUMBUS, OH
    ZIP 43220
  • Facility Phone: 614 457-1793
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHELLE R. ZIMMERMAN
  • NPI Number: 1508936204
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 36D0683979
LAB Type Physician Office
Facility Name CENTRAL OHIO PRIMARY CARE PHYSICIANS INC
Street 4100 HORIZONS DRIVE
City COLUMBUS
State OH
ZIP 43220
Phone 614 457-1793
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 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Physician Office
Lab Director MICHELLE R. ZIMMERMAN

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