36D2286374 CLIA NUMBER - CENTRAL OUTREACH WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 36D2286374
  • Facility Name: CENTRAL OUTREACH WELLNESS CENTER
  • Facility Address: 2680 W BROAD ST
    COLUMBUS, OH
    ZIP 43204
  • Facility Phone: 412 515-0000
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: JAMES QUESTEL
  • NPI Number: 1063804136
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2286374
LAB Type Community Clinic
Facility Name CENTRAL OUTREACH WELLNESS CENTER
Street 2680 W BROAD ST
City COLUMBUS
State OH
ZIP 43204
Phone 412 515-0000
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 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Community Clinic
Lab Director JAMES QUESTEL

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