36D2159507 CLIA NUMBER - OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY

Laboratory Demographics

  • CLIA Code: 36D2159507
  • Facility Name: OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
  • Facility Address: 305 W 12TH AVENUE 4TH FLOOR
    COLUMBUS, OH
    ZIP 43210
  • Facility Phone: 614 292-6577
  • Facility Type: Other - COLLEGE DENTAL CLINICS
  • Facility Type: Waiver
  • Lab Director: JOHN R. KALMAR
  • NPI Number: 1891752911
  • Taxonomy: 133V00000X - Dietitian, Registered

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CLIA Record

Field Name Field Value
CLIA Number 36D2159507
LAB Type Other - COLLEGE DENTAL CLINICS
Facility Name OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Street 305 W 12TH AVENUE 4TH FLOOR
City COLUMBUS
State OH
ZIP 43210
Phone 614 292-6577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Other - COLLEGE DENTAL CLINICS
Lab Director JOHN R. KALMAR

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