36D1087683 CLIA NUMBER - DOWNTOWN DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 36D1087683
  • Facility Name: DOWNTOWN DERMATOLOGY LLC
  • Facility Address: 500 EAST MAIN STREET SUITE 310
    COLUMBUS, OH
    ZIP 43215
  • Facility Phone: 614 224-4566
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHARI HICKS-GRAHAM MD
  • NPI Number: 1346497989
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1087683
LAB Type Physician Office
Facility Name DOWNTOWN DERMATOLOGY LLC
Street 500 EAST MAIN STREET SUITE 310
City COLUMBUS
State OH
ZIP 43215
Phone 614 224-4566
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director SHARI HICKS-GRAHAM MD

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