36D2058404 CLIA NUMBER - ORTHOPEDIC ONE

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CLIA Record

Field Name Field Value
CLIA Number 36D2058404
LAB Type Other - OUTPT PHYSICAL THERAPY
Facility Name ORTHOPEDIC ONE
Street 460 W CENTRAL AVE
City DELAWARE
State OH
ZIP 43015
Phone 614 827-8767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Other - OUTPT PHYSICAL THERAPY
Lab Director SCOTT E. VAN AMAN

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