36D2113498 CLIA NUMBER - NORTHEAST DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 36D2113498
  • Facility Name: NORTHEAST DERMATOLOGY
  • Facility Address: 2100 MARBLE CLIFF OFFICE PARK, STE B
    COLUMBUS, OH
    ZIP 43215
  • Facility Phone: 614 299-7546
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JEANNIE HENNESSY
  • NPI Number: 1346683091
  • Taxonomy: 314000000X - Skilled Nursing Facility

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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
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director JEANNIE HENNESSY

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