36D2170419 CLIA NUMBER - HETRICK KOENIG HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 36D2170419
  • Facility Name: HETRICK KOENIG HEALTH, LLC
  • Facility Address: 885 HIGH ST
    WORTHINGTON, OH
    ZIP 43085
  • Facility Phone: 646 831-8044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER E. HETRICK
  • NPI Number: 1154963999
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2170419
LAB Type Physician Office
Facility Name HETRICK KOENIG HEALTH, LLC
Street 885 HIGH ST
City WORTHINGTON
State OH
ZIP 43085
Phone 646 831-8044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Physician Office
Lab Director JENNIFER E. HETRICK

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