36D2004939 CLIA NUMBER - OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER NEPHROLOGY GROUPS, THE

Laboratory Demographics

  • CLIA Code: 36D2004939
  • Facility Name: OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER NEPHROLOGY GROUPS, THE
  • Facility Address: 410 WEST 10TH AVENUE 10TH FLOOR RHODES HALL
    COLUMBUS, OH
    ZIP 43210
  • Facility Phone: 614 293-4837
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: MADELINE S. CHUNG
  • NPI Number: 1518419662
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 36D2004939
LAB Type Hospital
Facility Name OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER NEPHROLOGY GROUPS, THE
Street 410 WEST 10TH AVENUE 10TH FLOOR RHODES HALL
City COLUMBUS
State OH
ZIP 43210
Phone 614 293-4837
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 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Hospital
Lab Director MADELINE S. CHUNG

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