36D0989734 CLIA NUMBER - LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO

Laboratory Demographics

CLIA Number: 36D0989734

Facility Name: LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO

Facility Address:
245 N GRANT AVE
COLUMBUS, OH
ZIP 43215
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Facility Phone Number: 614 224-6617

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1437621331

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D0989734
LAB Type	Federally Qualified Health Center
Facility Name	LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
Street	245 N GRANT AVE
City	COLUMBUS
State	OH
ZIP	43215
Phone	614 224-6617
CertificateType	4
CertificateEffectiveDate	1/21/2023
CertificateExpirationDate	1/20/2025
FacilityType	Waiver

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