36D0949610 CLIA NUMBER - CINCINNATI CHILDREN'S OUTPATIENT EASTGATE LABORATORY

Laboratory Demographics

  • CLIA Code: 36D0949610
  • Facility Name: CINCINNATI CHILDREN'S OUTPATIENT EASTGATE LABORATORY
  • Facility Address: 796 OLD STATE ROUTE 74
    CINCINNATI, OH
    ZIP 45245
  • Facility Phone: 513 636-8000
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: LEE ANN CONARD
  • NPI Number: 1750763199
  • Taxonomy: 111NR0400X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 36D0949610
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CINCINNATI CHILDREN'S OUTPATIENT EASTGATE LABORATORY
Street 796 OLD STATE ROUTE 74
City CINCINNATI
State OH
ZIP 45245
Phone 513 636-8000
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 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director LEE ANN CONARD

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