36D0991155 CLIA NUMBER - TCHMA FOREST HILLS INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 36D0991155

Facility Name: TCHMA FOREST HILLS INTERNAL MEDICINE

Facility Address:
7545 BEECHMONT AVENUE SUITE A
CINCINNATI, OH
ZIP 45255
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Facility Phone Number: 513 624-9100

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1952615940

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	36D0991155
LAB Type	Physician Office
Facility Name	TCHMA FOREST HILLS INTERNAL MEDICINE
Street	7545 BEECHMONT AVENUE SUITE A
City	CINCINNATI
State	OH
ZIP	45255
Phone	513 624-9100
CertificateType	3
CertificateEffectiveDate	9/12/2023
CertificateExpirationDate	9/11/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024