36D0903337 CLIA NUMBER - NATIONWIDE CHILDREN'S HOSPITAL DECENTRALIZED TESTING

Laboratory Demographics

CLIA Number: 36D0903337

Facility Name: NATIONWIDE CHILDREN'S HOSPITAL DECENTRALIZED TESTING

Facility Address:
700 CHILDREN'S DRIVE LAB ADMINISTRATION ROOM C1860
COLUMBUS, OH
ZIP 43205
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Facility Phone Number: 614 722-5477

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Microscopy

NPI Number: 1376099556

Taxonomy: 282NC2000X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	36D0903337
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	NATIONWIDE CHILDREN'S HOSPITAL DECENTRALIZED TESTING
Street	700 CHILDREN'S DRIVE LAB ADMINISTRATION ROOM C1860
City	COLUMBUS
State	OH
ZIP	43205
Phone	614 722-5477
CertificateType	3
CertificateEffectiveDate	2/9/2023
CertificateExpirationDate	2/8/2025
FacilityType	PPMP

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