36D0347178 CLIA NUMBER - TH G LLC KENWOOD

Laboratory Demographics

  • CLIA Code: 36D0347178
  • Facility Name: TH G LLC KENWOOD
  • Facility Address: 8240 NORTHCREEK DRIVE
    CINCINNATI, OH
    ZIP 45236
  • Facility Phone: 513 745-4706
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JONATHAN MUMMA
  • NPI Number: 1093828600
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 36D0347178
LAB Type Physician Office
Facility Name TH G LLC KENWOOD
Street 8240 NORTHCREEK DRIVE
City CINCINNATI
State OH
ZIP 45236
Phone 513 745-4706
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 JONATHAN MUMMA

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