36D2135149 CLIA NUMBER - EVERSIDE HEALTH LOCAL 212 CLINIC

Laboratory Demographics

  • CLIA Code: 36D2135149
  • Facility Name: EVERSIDE HEALTH LOCAL 212 CLINIC
  • Facility Address: 212 CROWN POINT PLACE SUITE 103
    CINCINNATI, OH
    ZIP 45241
  • Facility Phone: 704 529-6161
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RACHEL VREELAND
  • NPI Number: 1700300209
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2135149
LAB Type Physician Office
Facility Name EVERSIDE HEALTH LOCAL 212 CLINIC
Street 212 CROWN POINT PLACE SUITE 103
City CINCINNATI
State OH
ZIP 45241
Phone 704 529-6161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2023
Certificate Expiration Date 8/15/2025
Facility Type Physician Office
Lab Director RACHEL VREELAND

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This page was last updated on: 6/4/2025