36D1059629 CLIA NUMBER - BEACON WEST SURGICAL CENTER, BEACON ORTHOPAEDIC SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 36D1059629
  • Facility Name: BEACON WEST SURGICAL CENTER, BEACON ORTHOPAEDIC SURGERY CENTER LLC
  • Facility Address: 6480 HARRISON AVENUE SUITE 200
    CINCINNATI, OH
    ZIP 45247
  • Facility Phone: 513 354-7750
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN BRANNAN
  • NPI Number: 1861656449
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1059629
LAB Type Ambulatory Surgery Center
Facility Name BEACON WEST SURGICAL CENTER, BEACON ORTHOPAEDIC SURGERY CENTER LLC
Street 6480 HARRISON AVENUE SUITE 200
City CINCINNATI
State OH
ZIP 45247
Phone 513 354-7750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Ambulatory Surgery Center
Lab Director JOHN BRANNAN

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