36D2302124 CLIA NUMBER - BUCKEYE CLINIC

Laboratory Demographics

  • CLIA Code: 36D2302124
  • Facility Name: BUCKEYE CLINIC
  • Facility Address: 3121 W BROAD STREET
    COLUMBUS, OH
    ZIP 43204
  • Facility Phone: 614 869-2002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID J. WELLS
  • NPI Number: 1174115034
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2302124
LAB Type Physician Office
Facility Name BUCKEYE CLINIC
Street 3121 W BROAD STREET
City COLUMBUS
State OH
ZIP 43204
Phone 614 869-2002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Physician Office
Lab Director DAVID J. WELLS

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