36D0931053 CLIA NUMBER - PROFESSIONALS FOR WOMEN'S HEALTH INC

Laboratory Demographics

  • CLIA Code: 36D0931053
  • Facility Name: PROFESSIONALS FOR WOMEN'S HEALTH INC
  • Facility Address: 430 ALTAIR PARKWAY
    WESTERVILLE, OH
    ZIP 43082
  • Facility Phone: 614 268-8800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KEVIN J. HACKETT
  • NPI Number: 1477075562
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 36D0931053
LAB Type Physician Office
Facility Name PROFESSIONALS FOR WOMEN'S HEALTH INC
Street 430 ALTAIR PARKWAY
City WESTERVILLE
State OH
ZIP 43082
Phone 614 268-8800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director KEVIN J. HACKETT

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