36D2298657 CLIA NUMBER - CENTRAL OHIO PRIMARY CARE PHYSICIAN INC

Laboratory Demographics

  • CLIA Code: 36D2298657
  • Facility Name: CENTRAL OHIO PRIMARY CARE PHYSICIAN INC
  • Facility Address: 120 E OLENTANGY STREET
    POWELL, OH
    ZIP 43065
  • Facility Phone: 614 898-1211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEV DESAI
  • NPI Number: 1578988473
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2298657
LAB Type Physician Office
Facility Name CENTRAL OHIO PRIMARY CARE PHYSICIAN INC
Street 120 E OLENTANGY STREET
City POWELL
State OH
ZIP 43065
Phone 614 898-1211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director DEV DESAI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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