36D1073297 CLIA NUMBER - CHUNN FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 36D1073297
  • Facility Name: CHUNN FAMILY MEDICINE
  • Facility Address: 6860 TYLERSVILLE ROAD SUITE 12
    MASON, OH
    ZIP 45040
  • Facility Phone: 513 701-3145
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL A. CHUNN
  • NPI Number: 1457723694
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1073297
LAB Type Physician Office
Facility Name CHUNN FAMILY MEDICINE
Street 6860 TYLERSVILLE ROAD SUITE 12
City MASON
State OH
ZIP 45040
Phone 513 701-3145
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Physician Office
Lab Director MICHAEL A. CHUNN

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