36D1104232 CLIA NUMBER - DEUPREE HOUSE, THE

Laboratory Demographics

  • CLIA Code: 36D1104232
  • Facility Name: DEUPREE HOUSE, THE
  • Facility Address: 3939 ERIE AVENUE
    CINCINNATI, OH
    ZIP 45208
  • Facility Phone: 513 561-6363
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: EMERSON STAMBAUGH
  • NPI Number: 1649472903
  • Taxonomy: 261QR0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1104232
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DEUPREE HOUSE, THE
Street 3939 ERIE AVENUE
City CINCINNATI
State OH
ZIP 45208
Phone 513 561-6363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director EMERSON STAMBAUGH

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