36D1051915 CLIA NUMBER - CENTRAL OHIO PRIMARY CARE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 36D1051915
  • Facility Name: CENTRAL OHIO PRIMARY CARE PHYSICIANS
  • Facility Address: 625 AFRICA RD SUITE 320
    WESTERVILLE, OH
    ZIP 43082
  • Facility Phone: 614 508-0110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY L. ANDERSON
  • NPI Number: 1194705194
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1051915
LAB Type Physician Office
Facility Name CENTRAL OHIO PRIMARY CARE PHYSICIANS
Street 625 AFRICA RD SUITE 320
City WESTERVILLE
State OH
ZIP 43082
Phone 614 508-0110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Physician Office
Lab Director TIMOTHY L. ANDERSON

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