36D1061700 CLIA NUMBER - MAYFIELD SPINE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 36D1061700
  • Facility Name: MAYFIELD SPINE SURGERY CENTER
  • Facility Address: 4020 SMITH ROAD
    CINCINNATI, OH
    ZIP 45209
  • Facility Phone: 513 619-5893
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEVE BAILEY
  • NPI Number: 1174852461
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1061700
LAB Type Ambulatory Surgery Center
Facility Name MAYFIELD SPINE SURGERY CENTER
Street 4020 SMITH ROAD
City CINCINNATI
State OH
ZIP 45209
Phone 513 619-5893
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Ambulatory Surgery Center
Lab Director STEVE BAILEY

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