36D0860777 CLIA NUMBER - I AM BOUNDLESS, INC

Laboratory Demographics

  • CLIA Code: 36D0860777
  • Facility Name: I AM BOUNDLESS, INC
  • Facility Address: 445 EAST DUBLIN GRANVILLE ROAD BUILDING G
    WORTHINGTON, OH
    ZIP 43085
  • Facility Phone: 614 844-3600
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: TAMMY M. BATTLE
  • NPI Number: 1013555408
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 36D0860777
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name I AM BOUNDLESS, INC
Street 445 EAST DUBLIN GRANVILLE ROAD BUILDING G
City WORTHINGTON
State OH
ZIP 43085
Phone 614 844-3600
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 Intermediate Care Facility for Mentally Retarded
Lab Director TAMMY M. BATTLE

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