36D0346947 CLIA NUMBER - ANDERSON FAMILY MEDICINE - MMA

Laboratory Demographics

  • CLIA Code: 36D0346947
  • Facility Name: ANDERSON FAMILY MEDICINE - MMA
  • Facility Address: 8000 FIVE MILE RD, SUITE 205
    CINCINNATI, OH
    ZIP 45230
  • Facility Phone: 513 624-1240
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNE C. DILLON
  • NPI Number: 1023161346
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 36D0346947
LAB Type Physician Office
Facility Name ANDERSON FAMILY MEDICINE - MMA
Street 8000 FIVE MILE RD, SUITE 205
City CINCINNATI
State OH
ZIP 45230
Phone 513 624-1240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director ANNE C. DILLON

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