36D2287191 CLIA NUMBER - CENTRAL OHIO PRIMARY CARE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 36D2287191
  • Facility Name: CENTRAL OHIO PRIMARY CARE PHYSICIANS
  • Facility Address: 4885 OLENTANGY RIVER ROAD SUITE 150
    COLUMBUS, OH
    ZIP 43214
  • Facility Phone: 614 451-9229
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEREK MCCLELLAN
  • NPI Number: 1104972330
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 36D2287191
LAB Type Physician Office
Facility Name CENTRAL OHIO PRIMARY CARE PHYSICIANS
Street 4885 OLENTANGY RIVER ROAD SUITE 150
City COLUMBUS
State OH
ZIP 43214
Phone 614 451-9229
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