36D2307462 CLIA NUMBER - PROFESSIONAL PROVIDERS NETWORKING, LLC

Laboratory Demographics

  • CLIA Code: 36D2307462
  • Facility Name: PROFESSIONAL PROVIDERS NETWORKING, LLC
  • Facility Address: 7602 SLATE RIDGE BLVD, SUITE B
    REYNOLDSBURG, OH
    ZIP 43068
  • Facility Phone: 614 574-1823
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. ELIZABETH A. WADEI
  • NPI Number: 1457014599
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2307462
LAB Type Physician Office
Facility Name PROFESSIONAL PROVIDERS NETWORKING, LLC
Street 7602 SLATE RIDGE BLVD, SUITE B
City REYNOLDSBURG
State OH
ZIP 43068
Phone 614 574-1823
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director MS. ELIZABETH A. WADEI

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