36D0988522 CLIA NUMBER - MIDDLETOWN CBOC

Laboratory Demographics

  • CLIA Code: 36D0988522
  • Facility Name: MIDDLETOWN CBOC
  • Facility Address: 4337 N UNION ROAD
    MIDDLETOWN, OH
    ZIP 45005
  • Facility Phone: 513 423-8387
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: MUMTAZ SAJJAD
  • NPI Number: 1053356857
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 36D0988522
LAB Type Community Clinic
Facility Name MIDDLETOWN CBOC
Street 4337 N UNION ROAD
City MIDDLETOWN
State OH
ZIP 45005
Phone 513 423-8387
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/29/2001
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director MUMTAZ SAJJAD

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