36D2001392 CLIA NUMBER - TIMOTHY E RYAN DO, LLC

Laboratory Demographics

  • CLIA Code: 36D2001392
  • Facility Name: TIMOTHY E RYAN DO, LLC
  • Facility Address: 4998 WEST BROAD STREET SUITE 102
    COLUMBUS, OH
    ZIP 43228
  • Facility Phone: 614 878-7407
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY E. RYAN
  • NPI Number: 1710480041
  • Taxonomy: 207YX0007X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 36D2001392
LAB Type Physician Office
Facility Name TIMOTHY E RYAN DO, LLC
Street 4998 WEST BROAD STREET SUITE 102
City COLUMBUS
State OH
ZIP 43228
Phone 614 878-7407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director TIMOTHY E. RYAN

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