36D0344915 CLIA NUMBER - ELITE MEDICINE, LLC

Laboratory Demographics

  • CLIA Code: 36D0344915
  • Facility Name: ELITE MEDICINE, LLC
  • Facility Address: 8240 BECKETT PARK DR STE A
    WEST CHESTER, OH
    ZIP 45069
  • Facility Phone: 513 860-2888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHELLI A. RIDGE
  • NPI Number: 1780618413
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0344915
LAB Type Physician Office
Facility Name ELITE MEDICINE, LLC
Street 8240 BECKETT PARK DR STE A
City WEST CHESTER
State OH
ZIP 45069
Phone 513 860-2888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director SHELLI A. RIDGE

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