36D2247689 CLIA NUMBER - CITYBLOCK MEDICAL PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 36D2247689
  • Facility Name: CITYBLOCK MEDICAL PRACTICE, LLC
  • Facility Address: 500 EAST MAIN STREET SUITE 105
    COLUMBUS, OH
    ZIP 43215
  • Facility Phone: 513 591-8168
  • Facility Type: Other - PHYSICIANS OFFICE: MOBILE
  • Facility Type: Waiver
  • Lab Director: SOPHIA HAMMONDS
  • NPI Number: 1013673821
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2247689
LAB Type Other - PHYSICIANS OFFICE: MOBILE
Facility Name CITYBLOCK MEDICAL PRACTICE, LLC
Street 500 EAST MAIN STREET SUITE 105
City COLUMBUS
State OH
ZIP 43215
Phone 513 591-8168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Other - PHYSICIANS OFFICE: MOBILE
Lab Director SOPHIA HAMMONDS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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