36D0344806 CLIA NUMBER - TRISTATE UROLOGICAL SERVICES INC

Laboratory Demographics

  • CLIA Code: 36D0344806
  • Facility Name: TRISTATE UROLOGICAL SERVICES INC
  • Facility Address: 925 DEIS DR
    FAIRFIELD, OH
    ZIP 45014
  • Facility Phone: 513 841-7910
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KEVIN G. CAMPBELL
  • NPI Number: 1164615746
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 36D0344806
LAB Type Physician Office
Facility Name TRISTATE UROLOGICAL SERVICES INC
Street 925 DEIS DR
City FAIRFIELD
State OH
ZIP 45014
Phone 513 841-7910
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director KEVIN G. CAMPBELL

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