36D1005236 CLIA NUMBER - CUMMINS WOMENS HEALTH CARE LLC

Laboratory Demographics

CLIA Number: 36D1005236

Facility Name: CUMMINS WOMENS HEALTH CARE LLC

Facility Address:
50 LAZELLE ROAD
COLUMBUS, OH
ZIP 43235
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Facility Phone Number: 614 888-0800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1922077148

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	36D1005236
LAB Type	Physician Office
Facility Name	CUMMINS WOMENS HEALTH CARE LLC
Street	50 LAZELLE ROAD
City	COLUMBUS
State	OH
ZIP	43235
Phone	614 888-0800
CertificateType	4
CertificateEffectiveDate	10/17/2022
CertificateExpirationDate	10/16/2024
FacilityType	Waiver

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