36D1042345 CLIA NUMBER - MANDELL-BROWN PLASTIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 36D1042345
  • Facility Name: MANDELL-BROWN PLASTIC SURGERY CENTER
  • Facility Address: 10735 MONTGOMERY ROAD
    CINCINNATI, OH
    ZIP 45242
  • Facility Phone: 513 984-4700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK K. MANDELL-BROWN
  • NPI Number: 1013060862
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D1042345
LAB Type Physician Office
Facility Name MANDELL-BROWN PLASTIC SURGERY CENTER
Street 10735 MONTGOMERY ROAD
City CINCINNATI
State OH
ZIP 45242
Phone 513 984-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director MARK K. MANDELL-BROWN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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