36D2221390 CLIA NUMBER - DUBLIN DIRECT CARE

Laboratory Demographics

  • CLIA Code: 36D2221390
  • Facility Name: DUBLIN DIRECT CARE
  • Facility Address: 5040 BRADENTON AVE STE A
    DUBLIN, OH
    ZIP 43017
  • Facility Phone: (614) 389-5452
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENEDICT T. AWO
  • NPI Number: 1932828654
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2221390
LAB Type Physician Office
Facility Name DUBLIN DIRECT CARE
Street 5040 BRADENTON AVE STE A
City DUBLIN
State OH
ZIP 43017
Phone 6143895452
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director BENEDICT T. AWO

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This page was last updated on: 5/18/2026