36D1001925 CLIA NUMBER - CLERMONT CO JAIL/MEDICAL

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Laboratory Demographics

CLIA Number: 36D1001925

Facility Name: CLERMONT CO JAIL/MEDICAL

Facility Address:
4700 FILAGER ROAD
BATAVIA, OH
ZIP 45103
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Facility Phone Number: 513 732-7251

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1750409868

Taxonomy: 385HR2060X - Respite Care
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

CLIA Record

Field Name	Field Value
CLIA Number	36D1001925
LAB Type	Rural Health Clinic
Facility Name	CLERMONT CO JAIL/MEDICAL
Street	4700 FILAGER ROAD
City	BATAVIA
State	OH
ZIP	45103
Phone	513 732-7251
CertificateType	4
CertificateEffectiveDate	7/24/2022
CertificateExpirationDate	7/23/2024
FacilityType	Waiver

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