36D2017613 CLIA NUMBER - DOCTORS HOSPITAL COMMUNITY HEALTH SPECIALISTS

Laboratory Demographics

  • CLIA Code: 36D2017613
  • Facility Name: DOCTORS HOSPITAL COMMUNITY HEALTH SPECIALISTS
  • Facility Address: 5109 W BROAD ST
    COLUMBUS, OH
    ZIP 43228
  • Facility Phone: 614 544-1976
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AMANDA MAYNARD
  • NPI Number: 1871755926
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 36D2017613
LAB Type Physician Office
Facility Name DOCTORS HOSPITAL COMMUNITY HEALTH SPECIALISTS
Street 5109 W BROAD ST
City COLUMBUS
State OH
ZIP 43228
Phone 614 544-1976
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 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director AMANDA MAYNARD

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