36D1058385 CLIA NUMBER - OHIOHEALTH PHYSICIAN GROUP PRIMARY CARE & PEDIATRICS

Laboratory Demographics

  • CLIA Code: 36D1058385
  • Facility Name: OHIOHEALTH PHYSICIAN GROUP PRIMARY CARE & PEDIATRICS
  • Facility Address: 7853 PACER DR
    DELAWARE, OH
    ZIP 43015
  • Facility Phone: 614 788-9030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CANDICE L. MARTIN
  • NPI Number: 1891004172
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1058385
LAB Type Physician Office
Facility Name OHIOHEALTH PHYSICIAN GROUP PRIMARY CARE & PEDIATRICS
Street 7853 PACER DR
City DELAWARE
State OH
ZIP 43015
Phone 614 788-9030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Physician Office
Lab Director CANDICE L. MARTIN

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