36D2236259 CLIA NUMBER - COLUMBUS EYE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 36D2236259
  • Facility Name: COLUMBUS EYE ASSOCIATES
  • Facility Address: 4176 KELNOR DRIVE
    GROVE CITY, OH
    ZIP 43123
  • Facility Phone: 513 569-3741
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT DERICK
  • NPI Number: 1790171866
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 36D2236259
LAB Type Physician Office
Facility Name COLUMBUS EYE ASSOCIATES
Street 4176 KELNOR DRIVE
City GROVE CITY
State OH
ZIP 43123
Phone 513 569-3741
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director ROBERT DERICK

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