36D0345059 CLIA NUMBER - WARREN COUNTY COMBINED HEALTH DISTRICT

Laboratory Demographics

  • CLIA Code: 36D0345059
  • Facility Name: WARREN COUNTY COMBINED HEALTH DISTRICT
  • Facility Address: 416 SOUTH EAST STREET
    LEBANON, OH
    ZIP 45036
  • Facility Phone: 513 695-1564
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: DR. CLINT J. KOENIG
  • NPI Number: 1083215131
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 36D0345059
LAB Type Other
Facility Name WARREN COUNTY COMBINED HEALTH DISTRICT
Street 416 SOUTH EAST STREET
City LEBANON
State OH
ZIP 45036
Phone 513 695-1564
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 Other
Lab Director DR. CLINT J. KOENIG

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