36D2109416 CLIA NUMBER - CARACOLE, INC

Laboratory Demographics

  • CLIA Code: 36D2109416
  • Facility Name: CARACOLE, INC
  • Facility Address: 4138 HAMILTON AVE
    CINCINNATI, OH
    ZIP 45223
  • Facility Phone: 513 761-1480
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KEITH M. LUCKETT
  • NPI Number: 1497111363
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 36D2109416
LAB Type Mobile Laboratory
Facility Name CARACOLE, INC
Street 4138 HAMILTON AVE
City CINCINNATI
State OH
ZIP 45223
Phone 513 761-1480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Mobile Laboratory
Lab Director KEITH M. LUCKETT

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