36D2073202 CLIA NUMBER - TRIHEALTH G, LLC MARK HODGES MD INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 36D2073202
  • Facility Name: TRIHEALTH G, LLC MARK HODGES MD INTERNAL MEDICINE
  • Facility Address: 310 WASHINGTON SQUARE STE A
    WASHINGTON COURT HOUSE, OH
    ZIP 43160
  • Facility Phone: 513 569-1968
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK A. HODGES
  • NPI Number: 1710974209
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2073202
LAB Type Physician Office
Facility Name TRIHEALTH G, LLC MARK HODGES MD INTERNAL MEDICINE
Street 310 WASHINGTON SQUARE STE A
City WASHINGTON COURT HOUSE
State OH
ZIP 43160
Phone 513 569-1968
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Physician Office
Lab Director MARK A. HODGES

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