36D2004981 CLIA NUMBER - DUBLIN PHYSICAL MEDICINE

Laboratory Demographics

  • CLIA Code: 36D2004981
  • Facility Name: DUBLIN PHYSICAL MEDICINE
  • Facility Address: 6905 HOSPITAL DRIVE SUITE 120
    DUBLIN, OH
    ZIP 43016
  • Facility Phone: 614 792-3767
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TODD E. KERNER
  • NPI Number: 1669606018
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 36D2004981
LAB Type Physician Office
Facility Name DUBLIN PHYSICAL MEDICINE
Street 6905 HOSPITAL DRIVE SUITE 120
City DUBLIN
State OH
ZIP 43016
Phone 614 792-3767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Physician Office
Lab Director TODD E. KERNER

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