36D0957693 CLIA NUMBER - DEER PARK-SILVERTON JOINT FIRE DEPT

Laboratory Demographics

  • CLIA Code: 36D0957693
  • Facility Name: DEER PARK-SILVERTON JOINT FIRE DEPT
  • Facility Address: 7050 BLUE ASH ROAD
    SILVERTON, OH
    ZIP 45236
  • Facility Phone: 513 791-2500
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JOE J. MOELLMAN MD
  • NPI Number: 1962542373
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D0957693
LAB Type Mobile Laboratory
Facility Name DEER PARK-SILVERTON JOINT FIRE DEPT
Street 7050 BLUE ASH ROAD
City SILVERTON
State OH
ZIP 45236
Phone 513 791-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Mobile Laboratory
Lab Director JOE J. MOELLMAN MD

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