36D0865752 CLIA NUMBER - DEBRA A GRAYSON DO

Laboratory Demographics

CLIA Number: 36D0865752

Facility Name: DEBRA A GRAYSON DO

Facility Address:
4677 E MAIN STREET
COLUMBUS, OH
ZIP 43213
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Facility Phone Number: 614 575-6270

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356333785

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	36D0865752
LAB Type	Physician Office
Facility Name	DEBRA A GRAYSON DO
Street	4677 E MAIN STREET
City	COLUMBUS
State	OH
ZIP	43213
Phone	614 575-6270
CertificateType	4
CertificateEffectiveDate	2/18/2023
CertificateExpirationDate	2/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024