36D2252108 CLIA NUMBER - COLUMBUS FAMILY CARE CENTER

Laboratory Demographics

CLIA Number: 36D2252108

Facility Name: COLUMBUS FAMILY CARE CENTER

Facility Address:
2800 WEST BROAD STREET
COLUMBUS, OH
ZIP 43206
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Facility Phone Number: 614 274-4171

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275713711

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	36D2252108
LAB Type	Physician Office
Facility Name	COLUMBUS FAMILY CARE CENTER
Street	2800 WEST BROAD STREET
City	COLUMBUS
State	OH
ZIP	43206
Phone	614 274-4171
CertificateType	4
CertificateEffectiveDate	2/8/2024
CertificateExpirationDate	2/7/2026
FacilityType	Waiver

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