36D2048543 CLIA NUMBER - JENNIFER M RIDGE MD

Laboratory Demographics

  • CLIA Code: 36D2048543
  • Facility Name: JENNIFER M RIDGE MD
  • Facility Address: 10 NORTH LOCUST STREET, SUITE B
    OXFORD, OH
    ZIP 45056
  • Facility Phone: 513 424-7231
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER M. RIDGE
  • NPI Number: 1679775852
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 36D2048543
LAB Type Physician Office
Facility Name JENNIFER M RIDGE MD
Street 10 NORTH LOCUST STREET, SUITE B
City OXFORD
State OH
ZIP 45056
Phone 513 424-7231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director JENNIFER M. RIDGE

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