36D1065997 CLIA NUMBER - PERSONAL MD

Laboratory Demographics

  • CLIA Code: 36D1065997
  • Facility Name: PERSONAL MD
  • Facility Address: 5121 FOREST DRIVE SUITE D
    NEW ALBANY, OH
    ZIP 43054
  • Facility Phone: 614 933-9100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEBORAH MILKS
  • NPI Number: 1902988603
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1065997
LAB Type Physician Office
Facility Name PERSONAL MD
Street 5121 FOREST DRIVE SUITE D
City NEW ALBANY
State OH
ZIP 43054
Phone 614 933-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director DEBORAH MILKS

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