36D2151795 CLIA NUMBER - MEDCARE CLINIC LLC

Laboratory Demographics

  • CLIA Code: 36D2151795
  • Facility Name: MEDCARE CLINIC LLC
  • Facility Address: 4125 W BROAD ST
    COLUMBUS, OH
    ZIP 43228
  • Facility Phone: 614 441-1929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMINA M. ABDULE
  • NPI Number: 1831684232
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2151795
LAB Type Physician Office
Facility Name MEDCARE CLINIC LLC
Street 4125 W BROAD ST
City COLUMBUS
State OH
ZIP 43228
Phone 614 441-1929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director AMINA M. ABDULE

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