36D0717899 CLIA NUMBER - MARJORIE P LEE RETIREMENT COMMUNITY

Laboratory Demographics

  • CLIA Code: 36D0717899
  • Facility Name: MARJORIE P LEE RETIREMENT COMMUNITY
  • Facility Address: 3550 SHAW AVENUE ATTN ADMINISTRATOR
    CINCINNATI, OH
    ZIP 45208
  • Facility Phone: 513 871-2090
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANTHONY WILLIAMS
  • NPI Number: 1437130556
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0717899
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MARJORIE P LEE RETIREMENT COMMUNITY
Street 3550 SHAW AVENUE ATTN ADMINISTRATOR
City CINCINNATI
State OH
ZIP 45208
Phone 513 871-2090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANTHONY WILLIAMS

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