36D2068645 CLIA NUMBER - BUCKEYE HEALTH AND RESEARCH LLC

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Laboratory Demographics

CLIA Number: 36D2068645

Facility Name: BUCKEYE HEALTH AND RESEARCH LLC

Facility Address:
65 HIGHVIEW BLVD
COLUMBUS, OH
ZIP 43207
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Facility Phone Number: 614 850-7450

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1558712364

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	36D2068645
LAB Type	Physician Office
Facility Name	BUCKEYE HEALTH AND RESEARCH LLC
Street	65 HIGHVIEW BLVD
City	COLUMBUS
State	OH
ZIP	43207
Phone	614 850-7450
CertificateType	3
CertificateEffectiveDate	5/8/2024
CertificateExpirationDate	5/7/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024