36D0348029 CLIA NUMBER - MAPLE KNOLL VILLAGE

Laboratory Demographics

  • CLIA Code: 36D0348029
  • Facility Name: MAPLE KNOLL VILLAGE
  • Facility Address: 11100 SPRINGFIELD PIKE
    CINCINNATI, OH
    ZIP 45246
  • Facility Phone: 513 782-2448
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Microscopy
  • Lab Director: ORSON AUSTIN
  • NPI Number: 1194726588
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0348029
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAPLE KNOLL VILLAGE
Street 11100 SPRINGFIELD PIKE
City CINCINNATI
State OH
ZIP 45246
Phone 513 782-2448
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 Skilled Nursing Facility/Nursing Facility
Lab Director ORSON AUSTIN

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