36D0704743 CLIA NUMBER - OLENTANGY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 36D0704743
  • Facility Name: OLENTANGY PEDIATRICS
  • Facility Address: 4775 KNIGHTSBRIDGE BLVD STE 207
    COLUMBUS, OH
    ZIP 43214
  • Facility Phone: 614 442-5557
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOANN C. ROHYANS
  • NPI Number: 1609842962
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D0704743
LAB Type Physician Office
Facility Name OLENTANGY PEDIATRICS
Street 4775 KNIGHTSBRIDGE BLVD STE 207
City COLUMBUS
State OH
ZIP 43214
Phone 614 442-5557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director JOANN C. ROHYANS

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