36D1062421 CLIA NUMBER - MID OHIO SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 36D1062421
  • Facility Name: MID OHIO SURGERY CENTER
  • Facility Address: 99 NORTH BRICE ROAD SUITE 160
    COLUMBUS, OH
    ZIP 43213
  • Facility Phone: 614 575-2128
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANJANA SAMADDER
  • NPI Number: 1033155916
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 36D1062421
LAB Type Ambulatory Surgery Center
Facility Name MID OHIO SURGERY CENTER
Street 99 NORTH BRICE ROAD SUITE 160
City COLUMBUS
State OH
ZIP 43213
Phone 614 575-2128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Ambulatory Surgery Center
Lab Director ANJANA SAMADDER

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