36D2106347 CLIA NUMBER - IPS ASC LLC DBA GEMINI SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 36D2106347
  • Facility Name: IPS ASC LLC DBA GEMINI SURGERY CENTER
  • Facility Address: 1210 GEMINI PLACE SUITE 301
    COLUMBUS, OH
    ZIP 43240
  • Facility Phone: 419 843-1370
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GLADSTONE MCDOWELL
  • NPI Number: 1891229795
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2106347
LAB Type Ambulatory Surgery Center
Facility Name IPS ASC LLC DBA GEMINI SURGERY CENTER
Street 1210 GEMINI PLACE SUITE 301
City COLUMBUS
State OH
ZIP 43240
Phone 419 843-1370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Ambulatory Surgery Center
Lab Director GLADSTONE MCDOWELL

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