36D2220746 CLIA NUMBER - HEALTHLAND FAMILY PRACTICE

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Laboratory Demographics

CLIA Number: 36D2220746

Facility Name: HEALTHLAND FAMILY PRACTICE

Facility Address:
2339 CLEVELAND AVE
COLUMBUS, OH
ZIP 43211
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Facility Phone Number: 614 596-2988

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1689289845

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	36D2220746
LAB Type	Federally Qualified Health Center
Facility Name	HEALTHLAND FAMILY PRACTICE
Street	2339 CLEVELAND AVE
City	COLUMBUS
State	OH
ZIP	43211
Phone	614 596-2988
CertificateType	3
CertificateEffectiveDate	4/14/2023
CertificateExpirationDate	4/13/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024