36D0989756 CLIA NUMBER - HYDE PARK PEDIATRICS

Laboratory Demographics

  • CLIA Code: 36D0989756
  • Facility Name: HYDE PARK PEDIATRICS
  • Facility Address: 7720 MONTGOMERY ROAD
    CINCINNATI, OH
    ZIP 45236
  • Facility Phone: 513 321-0199
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIE NG
  • NPI Number: 1174924286
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 36D0989756
LAB Type Physician Office
Facility Name HYDE PARK PEDIATRICS
Street 7720 MONTGOMERY ROAD
City CINCINNATI
State OH
ZIP 45236
Phone 513 321-0199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director WILLIE NG

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