36D2158234 CLIA NUMBER - MARATHON HEALTH AT KINGS MILLS

Laboratory Demographics

  • CLIA Code: 36D2158234
  • Facility Name: MARATHON HEALTH AT KINGS MILLS
  • Facility Address: 2188 KINGS MILLS RD
    MASON, OH
    ZIP 45040
  • Facility Phone: 802 857-0400
  • Facility Type: Other - EMPLOYER HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: PAT KRAUSE
  • NPI Number: 1770114175
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 36D2158234
LAB Type Other - EMPLOYER HEALTH CENTER
Facility Name MARATHON HEALTH AT KINGS MILLS
Street 2188 KINGS MILLS RD
City MASON
State OH
ZIP 45040
Phone 802 857-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Other - EMPLOYER HEALTH CENTER
Lab Director PAT KRAUSE

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