36D0345317 CLIA NUMBER - TRENTON FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 36D0345317
  • Facility Name: TRENTON FAMILY MEDICINE
  • Facility Address: 3590 BUSENBARK RD STE 400
    TRENTON, OH
    ZIP 45067
  • Facility Phone: 513 988-6369
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MELISSA QUICK
  • NPI Number: 1962838813
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0345317
LAB Type Physician Office
Facility Name TRENTON FAMILY MEDICINE
Street 3590 BUSENBARK RD STE 400
City TRENTON
State OH
ZIP 45067
Phone 513 988-6369
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 MELISSA QUICK

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