36D0346572 CLIA NUMBER - UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY, LLC

Laboratory Demographics

CLIA Number: 36D0346572

Facility Name: UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY, LLC

Facility Address:
3120 BURNET AVENUE SUITE 406
CINCINNATI, OH
ZIP 45229
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Facility Phone Number: 513 584-8613

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1205301256

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D0346572
LAB Type	Physician Office
Facility Name	UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY, LLC
Street	3120 BURNET AVENUE SUITE 406
City	CINCINNATI
State	OH
ZIP	45229
Phone	513 584-8613
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024