36D2268622 CLIA NUMBER - KIPP COLUMBUS

Laboratory Demographics

  • CLIA Code: 36D2268622
  • Facility Name: KIPP COLUMBUS
  • Facility Address: 2900 INSPIRE DRIVE
    COLUMBUS, OH
    ZIP 43224
  • Facility Phone: 614 263-6137
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MICHELLE PONTIUS
  • NPI Number: 1447144191
  • Taxonomy: 103TS0200X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 36D2268622
LAB Type School/Student Health Service
Facility Name KIPP COLUMBUS
Street 2900 INSPIRE DRIVE
City COLUMBUS
State OH
ZIP 43224
Phone 614 263-6137
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type School/Student Health Service
Lab Director MICHELLE PONTIUS

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