36D1009155 CLIA NUMBER - MY DOCTOR LLC

Laboratory Demographics

  • CLIA Code: 36D1009155
  • Facility Name: MY DOCTOR LLC
  • Facility Address: 9050 MONTGOMERY ROAD SUITE B
    CINCINNATI, OH
    ZIP 45242
  • Facility Phone: 513 631-6963
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS A. MAGENHEIM MD
  • NPI Number: 1871574707
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1009155
LAB Type Physician Office
Facility Name MY DOCTOR LLC
Street 9050 MONTGOMERY ROAD SUITE B
City CINCINNATI
State OH
ZIP 45242
Phone 513 631-6963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director DOUGLAS A. MAGENHEIM MD

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