36D2177275 CLIA NUMBER - NABHCO

Laboratory Demographics

  • CLIA Code: 36D2177275
  • Facility Name: NABHCO
  • Facility Address: 2686 CROSSROADS PLAZA DRIVE
    COLUMBUS, OH
    ZIP 43219
  • Facility Phone: 877 318-0934
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LATONYA J. CARROLL
  • NPI Number: 1952940835
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2177275
LAB Type Practitioner Other
Facility Name NABHCO
Street 2686 CROSSROADS PLAZA DRIVE
City COLUMBUS
State OH
ZIP 43219
Phone 877 318-0934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Practitioner Other
Lab Director LATONYA J. CARROLL

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