36D2297044 CLIA NUMBER - SUPERIOR URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 36D2297044
  • Facility Name: SUPERIOR URGENT CARE LLC
  • Facility Address: 1600 CROSS CREEKS BLVD
    PICKERINGTON, OH
    ZIP 43147
  • Facility Phone: 614 829-3015
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: STAN BULANOV
  • NPI Number: 1790269751
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2297044
LAB Type Other - URGENT CARE
Facility Name SUPERIOR URGENT CARE LLC
Street 1600 CROSS CREEKS BLVD
City PICKERINGTON
State OH
ZIP 43147
Phone 614 829-3015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Other - URGENT CARE
Lab Director STAN BULANOV

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