36D2062949 CLIA NUMBER - WESTERVILLE ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 36D2062949
  • Facility Name: WESTERVILLE ENDOSCOPY CENTER LLC
  • Facility Address: 300 POLARIS PKWY STE 1500
    WESTERVILLE, OH
    ZIP 43082
  • Facility Phone: 614 917-1670
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ADAM TZAGOURNIS
  • NPI Number: 1881035509
  • Taxonomy: 261QE0800X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2062949
LAB Type Ambulatory Surgery Center
Facility Name WESTERVILLE ENDOSCOPY CENTER LLC
Street 300 POLARIS PKWY STE 1500
City WESTERVILLE
State OH
ZIP 43082
Phone 614 917-1670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Ambulatory Surgery Center
Lab Director ADAM TZAGOURNIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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