36D1100165 CLIA NUMBER - CONCENTRA/DISCOVER FINANCIAL SERVICES

Laboratory Demographics

  • CLIA Code: 36D1100165
  • Facility Name: CONCENTRA/DISCOVER FINANCIAL SERVICES
  • Facility Address: 4590 E BROAD STREET
    COLUMBUS, OH
    ZIP 43213
  • Facility Phone: 614 283-1005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOY JULIANNE
  • NPI Number: 1063178564
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1100165
LAB Type Physician Office
Facility Name CONCENTRA/DISCOVER FINANCIAL SERVICES
Street 4590 E BROAD STREET
City COLUMBUS
State OH
ZIP 43213
Phone 614 283-1005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director MOY JULIANNE

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