36D0348017 CLIA NUMBER - TH G LLC WEST CHESTER

Laboratory Demographics

  • CLIA Code: 36D0348017
  • Facility Name: TH G LLC WEST CHESTER
  • Facility Address: 8040 PRINCETON-GLENDALE RD
    WEST CHESTER, OH
    ZIP 45069
  • Facility Phone: 513 246-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN JUNG
  • NPI Number: 1487168043
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 36D0348017
LAB Type Physician Office
Facility Name TH G LLC WEST CHESTER
Street 8040 PRINCETON-GLENDALE RD
City WEST CHESTER
State OH
ZIP 45069
Phone 513 246-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Physician Office
Lab Director STEVEN JUNG

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