36D2146011 CLIA NUMBER - MERCY HEALTH - FAIRFIELD ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 36D2146011
  • Facility Name: MERCY HEALTH - FAIRFIELD ENDOCRINOLOGY
  • Facility Address: 2960 MACK ROAD, SUITE 200
    FAIRFIELD, OH
    ZIP 45014
  • Facility Phone: 513 603-8352
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NADIA YAQUB
  • NPI Number: 1245764281
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 36D2146011
LAB Type Physician Office
Facility Name MERCY HEALTH - FAIRFIELD ENDOCRINOLOGY
Street 2960 MACK ROAD, SUITE 200
City FAIRFIELD
State OH
ZIP 45014
Phone 513 603-8352
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director NADIA YAQUB

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