36D2143821 CLIA NUMBER - LIBERTY ENDOSCOPY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 36D2143821
  • Facility Name: LIBERTY ENDOSCOPY CENTER, LLC
  • Facility Address: 7360 LIBERTY ONE DRIVE
    LIBERTY TOWNSHIP, OH
    ZIP 45044
  • Facility Phone: 513 569-1355
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEFFREY D. STOTZ
  • NPI Number: 1598275703
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2143821
LAB Type Ambulatory Surgery Center
Facility Name LIBERTY ENDOSCOPY CENTER, LLC
Street 7360 LIBERTY ONE DRIVE
City LIBERTY TOWNSHIP
State OH
ZIP 45044
Phone 513 569-1355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Ambulatory Surgery Center
Lab Director JEFFREY D. STOTZ

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