36D2141274 CLIA NUMBER - EBUNOLUWA WION DO, AFFIRM HD

Laboratory Demographics

  • CLIA Code: 36D2141274
  • Facility Name: EBUNOLUWA WION DO, AFFIRM HD
  • Facility Address: 24 E FRONT STREET, SUITE 106
    PATASKALA, OH
    ZIP 43062
  • Facility Phone: 614 699-1233
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: EBUNOLUWA WION
  • NPI Number: 1194939694
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2141274
LAB Type Mobile Laboratory
Facility Name EBUNOLUWA WION DO, AFFIRM HD
Street 24 E FRONT STREET, SUITE 106
City PATASKALA
State OH
ZIP 43062
Phone 614 699-1233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Mobile Laboratory
Lab Director EBUNOLUWA WION

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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