36D2268277 CLIA NUMBER - OHIOHEALTH PHYSICIAN GROUP

Laboratory Demographics

CLIA Number: 36D2268277

Facility Name: OHIOHEALTH PHYSICIAN GROUP

Facility Address:
5150 E DUBLIN-GRANVILLE RD
COLUMBUS, OH
ZIP 43081
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Facility Phone Number: 740 464-0409

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1760103097

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	36D2268277
LAB Type	Physician Office
Facility Name	OHIOHEALTH PHYSICIAN GROUP
Street	5150 E DUBLIN-GRANVILLE RD
City	COLUMBUS
State	OH
ZIP	43081
Phone	740 464-0409
CertificateType	4
CertificateEffectiveDate	9/8/2022
CertificateExpirationDate	9/7/2024
FacilityType	Waiver

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