36D2114859 CLIA NUMBER - TRIHEALTH ONSITE MEDICAL PROGRAM SHEPHERD COLOR COMPANY

Laboratory Demographics

  • CLIA Code: 36D2114859
  • Facility Name: TRIHEALTH ONSITE MEDICAL PROGRAM SHEPHERD COLOR COMPANY
  • Facility Address: 4539 DUES DR
    CINCINNATI, OH
    ZIP 45246
  • Facility Phone: 513 977-2131
  • Facility Type: Other - ON SITE MEDICAL CLINICS
  • Facility Type: Waiver
  • Lab Director: TIMOTHY HENKE
  • NPI Number: 1063841468
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D2114859
LAB Type Other - ON SITE MEDICAL CLINICS
Facility Name TRIHEALTH ONSITE MEDICAL PROGRAM SHEPHERD COLOR COMPANY
Street 4539 DUES DR
City CINCINNATI
State OH
ZIP 45246
Phone 513 977-2131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Other - ON SITE MEDICAL CLINICS
Lab Director TIMOTHY HENKE

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