36D0932900 CLIA NUMBER - ORTHO NEURO

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CLIA Record

Field Name Field Value
CLIA Number 36D0932900
LAB Type Physician Office
Facility Name ORTHO NEURO
Street 70 SOUTH CLEVELAND AVENUE
City WESTERVILLE
State OH
ZIP 43081
Phone 614 890-6555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2023
Certificate Expiration Date 9/1/2025
Facility Type Physician Office
Lab Director MARK E. GITTINS DO

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This page was last updated on: 6/4/2025