36D1012419 CLIA NUMBER - UNIVERSITY OF CINCINNATI PHYSICIANS- WCN MED PEDS

Laboratory Demographics

  • CLIA Code: 36D1012419
  • Facility Name: UNIVERSITY OF CINCINNATI PHYSICIANS- WCN MED PEDS
  • Facility Address: 7690 DISCOVERY DRIVE SUITE 2700
    WEST CHESTER, OH
    ZIP 45069
  • Facility Phone: 513 475-7425
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT WOLTERMAN
  • NPI Number: 1558535161
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1012419
LAB Type Physician Office
Facility Name UNIVERSITY OF CINCINNATI PHYSICIANS- WCN MED PEDS
Street 7690 DISCOVERY DRIVE SUITE 2700
City WEST CHESTER
State OH
ZIP 45069
Phone 513 475-7425
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Physician Office
Lab Director ROBERT WOLTERMAN

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