36D2081913 CLIA NUMBER - MCGC AMBULATORY CARE CLINIC

Laboratory Demographics

  • CLIA Code: 36D2081913
  • Facility Name: MCGC AMBULATORY CARE CLINIC
  • Facility Address: 5300 N MEADOWS DRIVE, BLDG 1, SUITE 220
    GROVE CITY, OH
    ZIP 43123
  • Facility Phone: 614 234-8868
  • Facility Type: Other - ANTICOAGULATION CENTER
  • Facility Type: Waiver
  • Lab Director: RANDAL C. MILES
  • NPI Number: 1811975279
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2081913
LAB Type Other - ANTICOAGULATION CENTER
Facility Name MCGC AMBULATORY CARE CLINIC
Street 5300 N MEADOWS DRIVE, BLDG 1, SUITE 220
City GROVE CITY
State OH
ZIP 43123
Phone 614 234-8868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Other - ANTICOAGULATION CENTER
Lab Director RANDAL C. MILES

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