36D2201044 CLIA NUMBER - MARATHON HEALTH AT PARKWAY CENTRE

Laboratory Demographics

  • CLIA Code: 36D2201044
  • Facility Name: MARATHON HEALTH AT PARKWAY CENTRE
  • Facility Address: 4152 BUCKEYE PARKWAY
    GROVE CITY, OH
    ZIP 43123
  • Facility Phone: 866 434-3255
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACOBSON MACKENZIE
  • NPI Number: 1144826124
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 36D2201044
LAB Type Physician Office
Facility Name MARATHON HEALTH AT PARKWAY CENTRE
Street 4152 BUCKEYE PARKWAY
City GROVE CITY
State OH
ZIP 43123
Phone 866 434-3255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Physician Office
Lab Director JACOBSON MACKENZIE

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