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36D2113498 CLIA NUMBER - NORTHEAST DERMATOLOGY

Laboratory Demographics

CLIA Number: 36D2113498

Facility Name: NORTHEAST DERMATOLOGY

Facility Address:
2100 MARBLE CLIFF OFFICE PARK, STE B
COLUMBUS, OH
ZIP 43215
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Facility Phone Number: 614 299-7546

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1346683091

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 36D2113498
LAB Type Physician Office
Facility Name NORTHEAST DERMATOLOGY
Street 2100 MARBLE CLIFF OFFICE PARK, STE B
City COLUMBUS
State OH
ZIP 43215
Phone 614 299-7546
CertificateType 2
CertificateEffectiveDate 10/12/2022
CertificateExpirationDate 10/11/2024
FacilityType Compliance

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