36D0706301 CLIA NUMBER - OSU DUBLIN INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 36D0706301
  • Facility Name: OSU DUBLIN INTERNAL MEDICINE
  • Facility Address: 6700 UNIVERSITY BOULEVARD 4TH FLOOR
    DUBLIN, OH
    ZIP 43016
  • Facility Phone: 614 293-0079
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HARRISON L. JACKSON
  • NPI Number: 1427127919
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0706301
LAB Type Physician Office
Facility Name OSU DUBLIN INTERNAL MEDICINE
Street 6700 UNIVERSITY BOULEVARD 4TH FLOOR
City DUBLIN
State OH
ZIP 43016
Phone 614 293-0079
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 DR. HARRISON L. JACKSON

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