36D0721093 CLIA NUMBER - VICTORIANO T CO MD INC

Laboratory Demographics

  • CLIA Code: 36D0721093
  • Facility Name: VICTORIANO T CO MD INC
  • Facility Address: 511 NILLES ROAD SUITE A
    FAIRFIELD, OH
    ZIP 45014
  • Facility Phone: 513 829-5306
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER T. CO
  • NPI Number: 1114069325
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D0721093
LAB Type Physician Office
Facility Name VICTORIANO T CO MD INC
Street 511 NILLES ROAD SUITE A
City FAIRFIELD
State OH
ZIP 45014
Phone 513 829-5306
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 Physician Office
Lab Director DR. CHRISTOPHER T. CO

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