36D1076427 CLIA NUMBER - NORTH COLLEGE HILL INTERNAL MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 36D1076427
  • Facility Name: NORTH COLLEGE HILL INTERNAL MEDICINE LLC
  • Facility Address: 1577 A GOODMAN AVENUE
    CINCINNATI, OH
    ZIP 45224
  • Facility Phone: 513 521-3600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL JUSTIN MD
  • NPI Number: 1871625665
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 36D1076427
LAB Type Physician Office
Facility Name NORTH COLLEGE HILL INTERNAL MEDICINE LLC
Street 1577 A GOODMAN AVENUE
City CINCINNATI
State OH
ZIP 45224
Phone 513 521-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Physician Office
Lab Director MICHAEL JUSTIN MD

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