36D0345958 CLIA NUMBER - HYDE PARK PEDIATRICS, INC

Laboratory Demographics

  • CLIA Code: 36D0345958
  • Facility Name: HYDE PARK PEDIATRICS, INC
  • Facility Address: 3330 ERIE AVENUE
    CINCINNATI, OH
    ZIP 45208
  • Facility Phone: 513 321-0199
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIE NG
  • NPI Number: 1982767562
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D0345958
LAB Type Physician Office
Facility Name HYDE PARK PEDIATRICS, INC
Street 3330 ERIE AVENUE
City CINCINNATI
State OH
ZIP 45208
Phone 513 321-0199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Physician Office
Lab Director WILLIE NG

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