36D1017595 CLIA NUMBER - DUBLIN SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 36D1017595
  • Facility Name: DUBLIN SURGERY CENTER LLC
  • Facility Address: 5005 PARK CENTER AVENUE
    DUBLIN, OH
    ZIP 43017
  • Facility Phone: 614 932-9548
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRETT WHEELER
  • NPI Number: 1710201538
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1017595
LAB Type Ambulatory Surgery Center
Facility Name DUBLIN SURGERY CENTER LLC
Street 5005 PARK CENTER AVENUE
City DUBLIN
State OH
ZIP 43017
Phone 614 932-9548
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Ambulatory Surgery Center
Lab Director BRETT WHEELER

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