36D1069328 CLIA NUMBER - PHYSICIAN ASSOCIATES OF NORTHERN CINCINNATI LLC

Laboratory Demographics

  • CLIA Code: 36D1069328
  • Facility Name: PHYSICIAN ASSOCIATES OF NORTHERN CINCINNATI LLC
  • Facility Address: 3801 HAUCK ROAD SUITE A
    CINCINNATI, OH
    ZIP 45241
  • Facility Phone: (513) 671-1702
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: INMA C. PRIETO MD
  • NPI Number: 1447440953
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D1069328
LAB Type Physician Office
Facility Name PHYSICIAN ASSOCIATES OF NORTHERN CINCINNATI LLC
Street 3801 HAUCK ROAD SUITE A
City CINCINNATI
State OH
ZIP 45241
Phone 5136711702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director INMA C. PRIETO MD

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: 5/18/2026