36D2267180 CLIA NUMBER - CENTER FOR SPECIALTY SURGERY OF COLUMBUS

Laboratory Demographics

CLIA Number: 36D2267180

Facility Name: CENTER FOR SPECIALTY SURGERY OF COLUMBUS

Facility Address:
5040 FOREST DRIVE SUITE 230
NEW ALBANY, OH
ZIP 43054
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Facility Phone Number: 614 647-3868

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1427544667

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2267180
LAB Type	Ambulatory Surgery Center
Facility Name	CENTER FOR SPECIALTY SURGERY OF COLUMBUS
Street	5040 FOREST DRIVE SUITE 230
City	NEW ALBANY
State	OH
ZIP	43054
Phone	614 647-3868
CertificateType	4
CertificateEffectiveDate	8/22/2022
CertificateExpirationDate	8/21/2024
FacilityType	Waiver

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