36D0347687 CLIA NUMBER - TRIHEALTH G LLC DBA MONTGOMERY FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 36D0347687
  • Facility Name: TRIHEALTH G LLC DBA MONTGOMERY FAMILY MEDICINE
  • Facility Address: 11029 MONTGOMERY RD
    CINCINNATI, OH
    ZIP 45249
  • Facility Phone: 513 891-2211
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD VONDERBRINK
  • NPI Number: 1679520993
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0347687
LAB Type Physician Office
Facility Name TRIHEALTH G LLC DBA MONTGOMERY FAMILY MEDICINE
Street 11029 MONTGOMERY RD
City CINCINNATI
State OH
ZIP 45249
Phone 513 891-2211
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director RICHARD VONDERBRINK

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