36D1107518 CLIA NUMBER - ALI M CARINE DO

Laboratory Demographics

  • CLIA Code: 36D1107518
  • Facility Name: ALI M CARINE DO
  • Facility Address: 3300 RIVERSIDE DRIVE SUITE 200
    UPPER ARLINGTON, OH
    ZIP 43221
  • Facility Phone: 614 459-4200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALI M. CARINE DO
  • NPI Number: 1083651236
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D1107518
LAB Type Physician Office
Facility Name ALI M CARINE DO
Street 3300 RIVERSIDE DRIVE SUITE 200
City UPPER ARLINGTON
State OH
ZIP 43221
Phone 614 459-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director ALI M. CARINE DO

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