36D2162765 CLIA NUMBER - PHOENIX HEALTH LLC

Laboratory Demographics

  • CLIA Code: 36D2162765
  • Facility Name: PHOENIX HEALTH LLC
  • Facility Address: 360 S GRANT AVENUE
    COLUMBUS, OH
    ZIP 43214
  • Facility Phone: 614 389-3030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BURT DHIRA
  • NPI Number: 1952045114
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2162765
LAB Type Physician Office
Facility Name PHOENIX HEALTH LLC
Street 360 S GRANT AVENUE
City COLUMBUS
State OH
ZIP 43214
Phone 614 389-3030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Physician Office
Lab Director BURT DHIRA

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