36D2280740 CLIA NUMBER - OHIOHEALTH PHYSICIAN GROUP PRIMARY CARE

Laboratory Demographics

CLIA Number: 36D2280740

Facility Name: OHIOHEALTH PHYSICIAN GROUP PRIMARY CARE

Facility Address:
14 MCDOWELL ST
COLUMBUS, OH
ZIP 43215
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Facility Phone Number: 740 464-0409

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1508437633

Taxonomy: 261QI0500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2280740
LAB Type	Physician Office
Facility Name	OHIOHEALTH PHYSICIAN GROUP PRIMARY CARE
Street	14 MCDOWELL ST
City	COLUMBUS
State	OH
ZIP	43215
Phone	740 464-0409
CertificateType	3
CertificateEffectiveDate	4/25/2023
CertificateExpirationDate	4/24/2025
FacilityType	PPMP

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