36D0684512 CLIA NUMBER - HEINZERLING MEMORIAL FOUNDATION

Laboratory Demographics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0684512
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name HEINZERLING MEMORIAL FOUNDATION
Street 1800 HEINZERLING DRIVE
City COLUMBUS
State OH
ZIP 43223
Phone 614 272-8888
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 Intermediate Care Facility for Mentally Retarded
Lab Director WILLARD B. FERNALD MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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