36D2269858 CLIA NUMBER - MOUNT CARMEL OBGYN EASTON

Laboratory Demographics

  • CLIA Code: 36D2269858
  • Facility Name: MOUNT CARMEL OBGYN EASTON
  • Facility Address: 3600 STELZER RD, SUITE 220
    COLUMBUS, OH
    ZIP 43219
  • Facility Phone: 614 663-3888
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DELOIS TEAGUE
  • NPI Number: 1073615456
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2269858
LAB Type Physician Office
Facility Name MOUNT CARMEL OBGYN EASTON
Street 3600 STELZER RD, SUITE 220
City COLUMBUS
State OH
ZIP 43219
Phone 614 663-3888
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director DR. DELOIS TEAGUE

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