36D2105222 CLIA NUMBER - NORTHGATE PARK SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 36D2105222
  • Facility Name: NORTHGATE PARK SENIOR LIVING
  • Facility Address: 9191 ROUND TOP ROAD
    CINCINNATI, OH
    ZIP 45251
  • Facility Phone: 513 923-3711
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DIANA BURTON
  • NPI Number: 1023107687
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 36D2105222
LAB Type Assisted Living Facility
Facility Name NORTHGATE PARK SENIOR LIVING
Street 9191 ROUND TOP ROAD
City CINCINNATI
State OH
ZIP 45251
Phone 513 923-3711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Assisted Living Facility
Lab Director DIANA BURTON

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