36D0656339 CLIA NUMBER - CINCINNATI CHILDRENS HOSPITAL BURNET CAMPUS

Laboratory Demographics

  • CLIA Code: 36D0656339
  • Facility Name: CINCINNATI CHILDRENS HOSPITAL BURNET CAMPUS
  • Facility Address: 3333 BURNET AVENUE ML 1010
    CINCINNATI, OH
    ZIP 45229
  • Facility Phone: 513 636-3488
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: ELENA DUMA
  • NPI Number: 1053464305
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D0656339
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CINCINNATI CHILDRENS HOSPITAL BURNET CAMPUS
Street 3333 BURNET AVENUE ML 1010
City CINCINNATI
State OH
ZIP 45229
Phone 513 636-3488
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 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ELENA DUMA

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