36D2015877 CLIA NUMBER - UNIVERSITY OF CINCINNATI PHYSICIANS- MONTGOMERY

Laboratory Demographics

  • CLIA Code: 36D2015877
  • Facility Name: UNIVERSITY OF CINCINNATI PHYSICIANS- MONTGOMERY
  • Facility Address: 9275 MONTGOMERY ROAD SUITE 200
    CINCINNATI, OH
    ZIP 45242
  • Facility Phone: 513 936-4510
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAY JOHNSON
  • NPI Number: 1255331328
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 36D2015877
LAB Type Physician Office
Facility Name UNIVERSITY OF CINCINNATI PHYSICIANS- MONTGOMERY
Street 9275 MONTGOMERY ROAD SUITE 200
City CINCINNATI
State OH
ZIP 45242
Phone 513 936-4510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Physician Office
Lab Director KAY JOHNSON

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