36D2157917 CLIA NUMBER - AMC OHIO LLC DBA EQUITAS HEALTH PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2157917
  • Facility Name: AMC OHIO LLC DBA EQUITAS HEALTH PHARMACY
  • Facility Address: 1033 N HIGH STREET
    COLUMBUS, OH
    ZIP 43201
  • Facility Phone: 614 987-5621
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS N. SALTSMAN
  • NPI Number: 1639507106
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2157917
LAB Type Pharmacy
Facility Name AMC OHIO LLC DBA EQUITAS HEALTH PHARMACY
Street 1033 N HIGH STREET
City COLUMBUS
State OH
ZIP 43201
Phone 614 987-5621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Pharmacy
Lab Director THOMAS N. SALTSMAN

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