36D0985953 CLIA NUMBER - CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC

Laboratory Demographics

  • CLIA Code: 36D0985953
  • Facility Name: CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC
  • Facility Address: 8050 E MAIN STREET, SUITE 2100
    REYNOLDSBURG, OH
    ZIP 43068
  • Facility Phone: 614 552-2300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TIMOTHY MCMULLEN
  • NPI Number: 1356094494
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0985953
LAB Type Physician Office
Facility Name CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC
Street 8050 E MAIN STREET, SUITE 2100
City REYNOLDSBURG
State OH
ZIP 43068
Phone 614 552-2300
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 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director TIMOTHY MCMULLEN

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