36D0892395 CLIA NUMBER - PICKAWAY CORRECTIONAL INSTITUTION

Laboratory Demographics

  • CLIA Code: 36D0892395
  • Facility Name: PICKAWAY CORRECTIONAL INSTITUTION
  • Facility Address: 11781 STATE RT 762 ATTN MEDICAL
    ORIENT, OH
    ZIP 43146
  • Facility Phone: 614 877-4362
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: MARY ROUSH
  • NPI Number: 1659566586
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0892395
LAB Type Prison
Facility Name PICKAWAY CORRECTIONAL INSTITUTION
Street 11781 STATE RT 762 ATTN MEDICAL
City ORIENT
State OH
ZIP 43146
Phone 614 877-4362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Prison
Lab Director MARY ROUSH

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