36D0950009 CLIA NUMBER - TRIHEALTH H LLC DBA TRISTATE GYNECOLOGIC ONCOLOGY

Laboratory Demographics

  • CLIA Code: 36D0950009
  • Facility Name: TRIHEALTH H LLC DBA TRISTATE GYNECOLOGIC ONCOLOGY
  • Facility Address: 3219 CLIFTON AVE, SUITE 100
    CINCINNATI, OH
    ZIP 45220
  • Facility Phone: 513 862-7233
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES C. PAVELKA
  • NPI Number: 1154608107
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0950009
LAB Type Physician Office
Facility Name TRIHEALTH H LLC DBA TRISTATE GYNECOLOGIC ONCOLOGY
Street 3219 CLIFTON AVE, SUITE 100
City CINCINNATI
State OH
ZIP 45220
Phone 513 862-7233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Physician Office
Lab Director JAMES C. PAVELKA

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