36D0996424 CLIA NUMBER - TALBERT HOUSE

Laboratory Demographics

CLIA Code: 36D0996424
Facility Name: TALBERT HOUSE
Facility Address: 2600 VICTORY PARKWAY ATTN KARLA WILSON
CINCINNATI, OH
ZIP 45206
Facility Phone: 513 751-7747
Facility Type: Community Clinic
Facility Type: Waiver
Lab Director: KARLA A. WILSON
NPI Number: 1679945497
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	36D0996424
LAB Type	Community Clinic
Facility Name	TALBERT HOUSE
Street	2600 VICTORY PARKWAY ATTN KARLA WILSON
City	CINCINNATI
State	OH
ZIP	45206
Phone	513 751-7747
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	5/1/2024
Certificate Expiration Date	4/30/2026
Facility Type	Community Clinic
Lab Director	KARLA A. WILSON

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