36D0880069 CLIA NUMBER - FRANKLIN COUNTY BOARD OF MR DD

Laboratory Demographics

  • CLIA Code: 36D0880069
  • Facility Name: FRANKLIN COUNTY BOARD OF MR DD
  • Facility Address: 2879 JOHNSTOWN ROAD
    COLUMBUS, OH
    ZIP 43219
  • Facility Phone: 614 475-6440
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JACK BROWNLEY
  • NPI Number: 1235370255
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 36D0880069
LAB Type Other
Facility Name FRANKLIN COUNTY BOARD OF MR DD
Street 2879 JOHNSTOWN ROAD
City COLUMBUS
State OH
ZIP 43219
Phone 614 475-6440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Other
Lab Director JACK BROWNLEY

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