36D1074815 CLIA NUMBER - CENTRAL OHIO PRIMARY CARE PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 36D1074815
  • Facility Name: CENTRAL OHIO PRIMARY CARE PHYSICIANS INC
  • Facility Address: 17853 STATE ROUTE 31
    MARYSVILLE, OH
    ZIP 43040
  • Facility Phone: 937 578-4210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHERYL KIRKBY
  • NPI Number: 1902185614
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 36D1074815
LAB Type Physician Office
Facility Name CENTRAL OHIO PRIMARY CARE PHYSICIANS INC
Street 17853 STATE ROUTE 31
City MARYSVILLE
State OH
ZIP 43040
Phone 937 578-4210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Physician Office
Lab Director CHERYL KIRKBY

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