36D0873872 CLIA NUMBER - HAROLD T PRETORIUS MD

Laboratory Demographics

  • CLIA Code: 36D0873872
  • Facility Name: HAROLD T PRETORIUS MD
  • Facility Address: 4743 CORNELL ROAD
    CINCINNATI, OH
    ZIP 45241
  • Facility Phone: 513 561-3797
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAROLD T. PRETORIUS MD
  • NPI Number: 1043657489
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0873872
LAB Type Physician Office
Facility Name HAROLD T PRETORIUS MD
Street 4743 CORNELL ROAD
City CINCINNATI
State OH
ZIP 45241
Phone 513 561-3797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Physician Office
Lab Director HAROLD T. PRETORIUS MD

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