36D1038471 CLIA NUMBER - KATHLEEN Q LUTTER MD LLC

Laboratory Demographics

  • CLIA Code: 36D1038471
  • Facility Name: KATHLEEN Q LUTTER MD LLC
  • Facility Address: 460 POLARIS PKWY, SUITE 210
    WESTERVILLE, OH
    ZIP 43082
  • Facility Phone: 614 261-0101
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KATHLEEN LUTTER MD
  • NPI Number: 1588764799
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D1038471
LAB Type Physician Office
Facility Name KATHLEEN Q LUTTER MD LLC
Street 460 POLARIS PKWY, SUITE 210
City WESTERVILLE
State OH
ZIP 43082
Phone 614 261-0101
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director KATHLEEN LUTTER MD

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