36D1097096 CLIA NUMBER - PRO HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 36D1097096
  • Facility Name: PRO HEALTH SERVICES LLC
  • Facility Address: 2975 DONNYLANE BLVD
    COLUMBUS, OH
    ZIP 43235
  • Facility Phone: 614 442-2600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELICE ALEXANDER
  • NPI Number: 1205281581
  • Taxonomy: 261QM2500X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D1097096
LAB Type Physician Office
Facility Name PRO HEALTH SERVICES LLC
Street 2975 DONNYLANE BLVD
City COLUMBUS
State OH
ZIP 43235
Phone 614 442-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director ANGELICE ALEXANDER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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