36D2115566 CLIA NUMBER - COLUMBUS INTEGRATIVE FAMILY MEDICINE CENTER

Laboratory Demographics

  • CLIA Code: 36D2115566
  • Facility Name: COLUMBUS INTEGRATIVE FAMILY MEDICINE CENTER
  • Facility Address: 453 WATERBURY CT
    GAHANNA, OH
    ZIP 43230
  • Facility Phone: 614 515-5244
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUSLANA V. KURPITA
  • NPI Number: 1346774742
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 36D2115566
LAB Type Physician Office
Facility Name COLUMBUS INTEGRATIVE FAMILY MEDICINE CENTER
Street 453 WATERBURY CT
City GAHANNA
State OH
ZIP 43230
Phone 614 515-5244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Physician Office
Lab Director RUSLANA V. KURPITA

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