36D2160915 CLIA NUMBER - BRIGHT FAMILY CLINIC INC

Laboratory Demographics

CLIA Number: 36D2160915

Facility Name: BRIGHT FAMILY CLINIC INC

Facility Address:
4371 E BROAD STREET SUITE 103
COLUMBUS, OH
ZIP 43213
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Facility Phone Number: 614 778-1608

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467916114

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 36D2160915
LAB Type Physician Office
Facility Name BRIGHT FAMILY CLINIC INC
Street 4371 E BROAD STREET SUITE 103
City COLUMBUS
State OH
ZIP 43213
Phone 614 778-1608
CertificateType 4
CertificateEffectiveDate 1/22/2023
CertificateExpirationDate 1/21/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024