36D2319874 CLIA NUMBER - FORWARD HEALTH LLC

Laboratory Demographics

  • CLIA Code: 36D2319874
  • Facility Name: FORWARD HEALTH LLC
  • Facility Address: 6020 GROVEPORT RD
    GROVEPORT, OH
    ZIP 43125
  • Facility Phone: 740 935-8962
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AMANDA BUCKLEY
  • NPI Number: 1073366100
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2319874
LAB Type Practitioner Other
Facility Name FORWARD HEALTH LLC
Street 6020 GROVEPORT RD
City GROVEPORT
State OH
ZIP 43125
Phone 740 935-8962
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Practitioner Other
Lab Director AMANDA BUCKLEY

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