36D1076015 CLIA NUMBER - MIDWEST RETINA INC

Laboratory Demographics

  • CLIA Code: 36D1076015
  • Facility Name: MIDWEST RETINA INC
  • Facility Address: 6655 POST ROAD
    DUBLIN, OH
    ZIP 43016
  • Facility Phone: 614 339-8500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOUIS J. CHORICH III
  • NPI Number: 1699846535
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 36D1076015
LAB Type Physician Office
Facility Name MIDWEST RETINA INC
Street 6655 POST ROAD
City DUBLIN
State OH
ZIP 43016
Phone 614 339-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director LOUIS J. CHORICH III

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