36D1011021 CLIA NUMBER - OHIO ORTHOPEDIC SURGICAL INSTITUTE

Laboratory Demographics

CLIA Number: 36D1011021

Facility Name: OHIO ORTHOPEDIC SURGICAL INSTITUTE

Facility Address:
4605 SAWMILL ROAD SUITE 101
COLUMBUS, OH
ZIP 43220
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Facility Phone Number: 614 827-8777

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1285639062

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D1011021
LAB Type	Ambulatory Surgery Center
Facility Name	OHIO ORTHOPEDIC SURGICAL INSTITUTE
Street	4605 SAWMILL ROAD SUITE 101
City	COLUMBUS
State	OH
ZIP	43220
Phone	614 827-8777
CertificateType	4
CertificateEffectiveDate	1/26/2024
CertificateExpirationDate	1/25/2026
FacilityType	Waiver

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