36D2312476 CLIA NUMBER - ELEVATED WELLNESS MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 36D2312476
  • Facility Name: ELEVATED WELLNESS MEDICAL CENTER
  • Facility Address: 5340 EAST MAIN STREET, SUITE 107
    WHITEHALL, OH
    ZIP 43213
  • Facility Phone: 614 674-2247
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD WOODARD
  • NPI Number: 1699538272
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 36D2312476
LAB Type Physician Office
Facility Name ELEVATED WELLNESS MEDICAL CENTER
Street 5340 EAST MAIN STREET, SUITE 107
City WHITEHALL
State OH
ZIP 43213
Phone 614 674-2247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Physician Office
Lab Director DONALD WOODARD

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