36D0974391 CLIA NUMBER - COLUMBUS EAST DIALYSIS

Laboratory Demographics

CLIA Number: 36D0974391

Facility Name: COLUMBUS EAST DIALYSIS

Facility Address:
299 OUTERBELT ROAD
COLUMBUS, OH
ZIP 43213
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Facility Phone Number: 614 501-7224

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1194830950

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D0974391
LAB Type	Other
Facility Name	COLUMBUS EAST DIALYSIS
Street	299 OUTERBELT ROAD
City	COLUMBUS
State	OH
ZIP	43213
Phone	614 501-7224
CertificateType	4
CertificateEffectiveDate	6/6/2022
CertificateExpirationDate	6/5/2024
FacilityType	Waiver

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