36D2030536 CLIA NUMBER - MONTGOMERY SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 36D2030536
  • Facility Name: MONTGOMERY SURGERY CENTER LLC
  • Facility Address: 7763 MONTGOMERY RD STE B
    CINCINNATI, OH
    ZIP 45236
  • Facility Phone: 513 891-5438
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALEXANDER S. DONATH
  • NPI Number: 1295719763
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2030536
LAB Type Ambulatory Surgery Center
Facility Name MONTGOMERY SURGERY CENTER LLC
Street 7763 MONTGOMERY RD STE B
City CINCINNATI
State OH
ZIP 45236
Phone 513 891-5438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Ambulatory Surgery Center
Lab Director ALEXANDER S. DONATH

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