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36D0347837 CLIA NUMBER - PODIATRY ASSOCIATES OF CINCINNATI, INC

Laboratory Demographics

CLIA Number: 36D0347837

Facility Name: PODIATRY ASSOCIATES OF CINCINNATI, INC

Facility Address:
10615 MONTGOMERY RD SUITE 100
CINCINNATI, OH
ZIP 45242
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Facility Phone Number: 513 474-4450

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1356435150

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name Field Value
CLIA Number 36D0347837
LAB Type Physician Office
Facility Name PODIATRY ASSOCIATES OF CINCINNATI, INC
Street 10615 MONTGOMERY RD SUITE 100
City CINCINNATI
State OH
ZIP 45242
Phone 513 474-4450
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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