36D1048100 CLIA NUMBER - PICKAWAY HEALTH SERVICES DBA OHIOHEALTH PHYSICIAN GROUP

Laboratory Demographics

  • CLIA Code: 36D1048100
  • Facility Name: PICKAWAY HEALTH SERVICES DBA OHIOHEALTH PHYSICIAN GROUP
  • Facility Address: 1434 CIRCLEVILLE PLAZA
    CIRCLEVILLE, OH
    ZIP 43113
  • Facility Phone: (740) 420-8078
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. APRIL TIPTON
  • NPI Number: 1083809909
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1048100
LAB Type Physician Office
Facility Name PICKAWAY HEALTH SERVICES DBA OHIOHEALTH PHYSICIAN GROUP
Street 1434 CIRCLEVILLE PLAZA
City CIRCLEVILLE
State OH
ZIP 43113
Phone 7404208078
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 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Physician Office
Lab Director DR. APRIL TIPTON

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This page was last updated on: 5/18/2026