36D2171955 CLIA NUMBER - DEDICATED SENIOR MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 36D2171955
  • Facility Name: DEDICATED SENIOR MEDICAL CENTER
  • Facility Address: 50 NORTH WILSON ROAD
    COLUMBUS, OH
    ZIP 43204
  • Facility Phone: 614 702-7899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER J. CHEN
  • NPI Number: 1245791581
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 36D2171955
LAB Type Physician Office
Facility Name DEDICATED SENIOR MEDICAL CENTER
Street 50 NORTH WILSON ROAD
City COLUMBUS
State OH
ZIP 43204
Phone 614 702-7899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Physician Office
Lab Director CHRISTOPHER J. CHEN

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