36D0938851 CLIA NUMBER - LOWER LIGHTS CHRISTIAN HEALTH CENTER INC

Laboratory Demographics

CLIA Number: 36D0938851

Facility Name: LOWER LIGHTS CHRISTIAN HEALTH CENTER INC

Facility Address:
1160 WEST BROAD ST
COLUMBUS, OH
ZIP 43222
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Facility Phone Number: 614 274-1455

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1275999724

Taxonomy: 3336C0002X - Pharmacy
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

CLIA Record

Field Name Field Value
CLIA Number 36D0938851
LAB Type Ancillary Testing Site in Health Care Center
Facility Name LOWER LIGHTS CHRISTIAN HEALTH CENTER INC
Street 1160 WEST BROAD ST
City COLUMBUS
State OH
ZIP 43222
Phone 614 274-1455
CertificateType 4
CertificateEffectiveDate 8/12/2022
CertificateExpirationDate 8/11/2024
FacilityType Waiver

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