36D2287190 CLIA NUMBER - CENTRAL OHIO PRIMARY CARE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 36D2287190
  • Facility Name: CENTRAL OHIO PRIMARY CARE PHYSICIANS
  • Facility Address: 8050 E MAIN STREET, SUITE 1400
    REYNOLDSBURG, OH
    ZIP 43068
  • Facility Phone: 614 865-3152
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEREK MCCLELLAN
  • NPI Number: 1770521528
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 36D2287190
LAB Type Physician Office
Facility Name CENTRAL OHIO PRIMARY CARE PHYSICIANS
Street 8050 E MAIN STREET, SUITE 1400
City REYNOLDSBURG
State OH
ZIP 43068
Phone 614 865-3152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Physician Office
Lab Director DEREK MCCLELLAN

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