36D1030105 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 36D1030105
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 7420 GOODING BOULEVARD SUITE 100
    DELAWARE, OH
    ZIP 43015
  • Facility Phone: 614 841-9724
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARBARA J. RAYO
  • NPI Number: 1063419943
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D1030105
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 7420 GOODING BOULEVARD SUITE 100
City DELAWARE
State OH
ZIP 43015
Phone 614 841-9724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director BARBARA J. RAYO

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