36D2184166 CLIA NUMBER - PCA CORRECTIONS, LLC DBA SYNCHRONY COLUMBUS PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2184166
  • Facility Name: PCA CORRECTIONS, LLC DBA SYNCHRONY COLUMBUS PHARMACY
  • Facility Address: 4014 VENTURE COURT
    COLUMBUS, OH
    ZIP 43228
  • Facility Phone: 614 297-8244
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHERRY LUBONSKI
  • NPI Number: 1750392312
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2184166
LAB Type Pharmacy
Facility Name PCA CORRECTIONS, LLC DBA SYNCHRONY COLUMBUS PHARMACY
Street 4014 VENTURE COURT
City COLUMBUS
State OH
ZIP 43228
Phone 614 297-8244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Pharmacy
Lab Director SHERRY LUBONSKI

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