36D2165476 CLIA NUMBER - CYNTHIA DOUGHTY, CNP FAMILY PRACTICE LLC DBA MILESTONE PROGRESSIVE CARE

Laboratory Demographics

  • CLIA Code: 36D2165476
  • Facility Name: CYNTHIA DOUGHTY, CNP FAMILY PRACTICE LLC DBA MILESTONE PROGRESSIVE CARE
  • Facility Address: 2691 SAWBURY BLVD
    COLUMBUS, OH
    ZIP 43235
  • Facility Phone: 614 710-1496
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CYNTHIA DOUGHTY
  • NPI Number: 1215332192
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 36D2165476
LAB Type Practitioner Other
Facility Name CYNTHIA DOUGHTY, CNP FAMILY PRACTICE LLC DBA MILESTONE PROGRESSIVE CARE
Street 2691 SAWBURY BLVD
City COLUMBUS
State OH
ZIP 43235
Phone 614 710-1496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Practitioner Other
Lab Director CYNTHIA DOUGHTY

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This page was last updated on: 6/4/2025