36D2121667 CLIA NUMBER - CENTRAL OHIO PRIMARY CARE PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 36D2121667
  • Facility Name: CENTRAL OHIO PRIMARY CARE PHYSICIANS INC
  • Facility Address: 1975 GUILFORD RD
    COLUMBUS, OH
    ZIP 43221
  • Facility Phone: 614 869-0139
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTIN DEVOR
  • NPI Number: 1548673130
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 36D2121667
LAB Type Physician Office
Facility Name CENTRAL OHIO PRIMARY CARE PHYSICIANS INC
Street 1975 GUILFORD RD
City COLUMBUS
State OH
ZIP 43221
Phone 614 869-0139
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Physician Office
Lab Director KRISTIN DEVOR

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