36D2143103 CLIA NUMBER - MCGILLIGAN MD, INC

Laboratory Demographics

  • CLIA Code: 36D2143103
  • Facility Name: MCGILLIGAN MD, INC
  • Facility Address: 7529 STATE ROAD SUITE A
    CINCINNATI, OH
    ZIP 45255
  • Facility Phone: 513 715-5044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BECKY MCGILLIGAN
  • NPI Number: 1063914802
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2143103
LAB Type Physician Office
Facility Name MCGILLIGAN MD, INC
Street 7529 STATE ROAD SUITE A
City CINCINNATI
State OH
ZIP 45255
Phone 513 715-5044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director BECKY MCGILLIGAN

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