36D2225985 CLIA NUMBER - INTEGRATIVE WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 36D2225985
  • Facility Name: INTEGRATIVE WELLNESS CENTER
  • Facility Address: 1243 E BROAD STREET
    COLUMBUS, OH
    ZIP 43205
  • Facility Phone: 614 321-7856
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOLIYA IDONIBOYE
  • NPI Number: 1912509514
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 36D2225985
LAB Type Physician Office
Facility Name INTEGRATIVE WELLNESS CENTER
Street 1243 E BROAD STREET
City COLUMBUS
State OH
ZIP 43205
Phone 614 321-7856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director LOLIYA IDONIBOYE

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