36D2007048 CLIA NUMBER - MIDWEST RETINA INC

Laboratory Demographics

  • CLIA Code: 36D2007048
  • Facility Name: MIDWEST RETINA INC
  • Facility Address: 85 MCNAUGHTEN
    COLUMBUS, OH
    ZIP 43213
  • Facility Phone: 614 339-8500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOUIS J. CHORICH III
  • NPI Number: 1699846535
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 36D2007048
LAB Type Physician Office
Facility Name MIDWEST RETINA INC
Street 85 MCNAUGHTEN
City COLUMBUS
State OH
ZIP 43213
Phone 614 339-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Physician Office
Lab Director LOUIS J. CHORICH III

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This page was last updated on: 6/4/2025