36D2141515 CLIA NUMBER - BEE WELL PEDIATRICS

Laboratory Demographics

CLIA Number: 36D2141515

Facility Name: BEE WELL PEDIATRICS

Facility Address:
2730 OBSERVATORY AVE, 1ST FLOOR
CINCINNATI, OH
ZIP 45208
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Facility Phone Number: 513 258-0896

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1164936019

Taxonomy: 363LP0200X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	36D2141515
LAB Type	Practitioner Other
Facility Name	BEE WELL PEDIATRICS
Street	2730 OBSERVATORY AVE, 1ST FLOOR
City	CINCINNATI
State	OH
ZIP	45208
Phone	513 258-0896
CertificateType	4
CertificateEffectiveDate	12/14/2023
CertificateExpirationDate	12/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024