36D0971941 CLIA NUMBER - GREATER COLUMBUS REGIONAL DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D0971941
  • Facility Name: GREATER COLUMBUS REGIONAL DIALYSIS
  • Facility Address: 285 EAST STATE STREET SUITE 170
    COLUMBUS, OH
    ZIP 43215
  • Facility Phone: 614 228-9114
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BRIAN P. MUSSIO
  • NPI Number: 1255440129
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0971941
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GREATER COLUMBUS REGIONAL DIALYSIS
Street 285 EAST STATE STREET SUITE 170
City COLUMBUS
State OH
ZIP 43215
Phone 614 228-9114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BRIAN P. MUSSIO

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This page was last updated on: 3/20/2025