36D0870520 CLIA NUMBER - COMMUNITY PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 36D0870520
  • Facility Name: COMMUNITY PEDIATRICS INC
  • Facility Address: 3966 BROWN PARK DRIVE SUITES C & D
    HILLIARD, OH
    ZIP 43026
  • Facility Phone: 614 876-1304
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ENAAS F. KASHEER MD
  • NPI Number: 1669723409
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0870520
LAB Type Physician Office
Facility Name COMMUNITY PEDIATRICS INC
Street 3966 BROWN PARK DRIVE SUITES C & D
City HILLIARD
State OH
ZIP 43026
Phone 614 876-1304
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 ENAAS F. KASHEER MD

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