36D0345644 CLIA NUMBER - TRI HEALTH G LLC DBA EAST CLINTON MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 36D0345644
  • Facility Name: TRI HEALTH G LLC DBA EAST CLINTON MEDICAL SERVICES
  • Facility Address: 12459 STATE ROUTE 22 AND 3
    SABINA, OH
    ZIP 45169
  • Facility Phone: 513 569-1968
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODEL A. CACAS
  • NPI Number: 1184864415
  • Taxonomy: 251300000X - Local Education Agency (LEA)

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0345644
LAB Type Physician Office
Facility Name TRI HEALTH G LLC DBA EAST CLINTON MEDICAL SERVICES
Street 12459 STATE ROUTE 22 AND 3
City SABINA
State OH
ZIP 45169
Phone 513 569-1968
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RODEL A. CACAS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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