36D2134267 CLIA NUMBER - WEST SIDE PEDIATRICS - TAYLOR CREEK

Laboratory Demographics

  • CLIA Code: 36D2134267
  • Facility Name: WEST SIDE PEDIATRICS - TAYLOR CREEK
  • Facility Address: 7074 HARRISON AVENUE STE 6, 7, 8
    CINCINNATI, OH
    ZIP 45247
  • Facility Phone: 513 922-8200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEENATA G. MADDIWAR
  • NPI Number: 1205356466
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D2134267
LAB Type Physician Office
Facility Name WEST SIDE PEDIATRICS - TAYLOR CREEK
Street 7074 HARRISON AVENUE STE 6, 7, 8
City CINCINNATI
State OH
ZIP 45247
Phone 513 922-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director LEENATA G. MADDIWAR

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