36D2024007 CLIA NUMBER - CINCINNATI JOB CORPS CENTER

Laboratory Demographics

  • CLIA Code: 36D2024007
  • Facility Name: CINCINNATI JOB CORPS CENTER
  • Facility Address: 1409 WESTERN AVENUE
    CINCINNATI, OH
    ZIP 45214
  • Facility Phone: 513 412-7242
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: RACHAEL COLEMAN
  • NPI Number: 1750526679
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 36D2024007
LAB Type School/Student Health Service
Facility Name CINCINNATI JOB CORPS CENTER
Street 1409 WESTERN AVENUE
City CINCINNATI
State OH
ZIP 45214
Phone 513 412-7242
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 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type School/Student Health Service
Lab Director RACHAEL COLEMAN

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