36D2268277 CLIA NUMBER - OHIOHEALTH PHYSICIAN GROUP

Laboratory Demographics

  • CLIA Code: 36D2268277
  • Facility Name: OHIOHEALTH PHYSICIAN GROUP
  • Facility Address: 5150 E DUBLIN-GRANVILLE RD
    COLUMBUS, OH
    ZIP 43081
  • Facility Phone: 740 464-0409
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEN HENDRICKS
  • NPI Number: 1760103097
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director JEN HENDRICKS

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