36D2086921 CLIA NUMBER - COMPDRUG INC

Laboratory Demographics

  • CLIA Code: 36D2086921
  • Facility Name: COMPDRUG INC
  • Facility Address: 547 E 11TH AVENUE
    COLUMBUS, OH
    ZIP 43211
  • Facility Phone: 614 224-4506
  • Facility Type: Other - METHADONE CLINIC
  • Facility Type: Waiver
  • Lab Director: ANTHONY D. AGRA
  • NPI Number: 1750628541
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 36D2086921
LAB Type Other - METHADONE CLINIC
Facility Name COMPDRUG INC
Street 547 E 11TH AVENUE
City COLUMBUS
State OH
ZIP 43211
Phone 614 224-4506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Other - METHADONE CLINIC
Lab Director ANTHONY D. AGRA

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