36D2165338 CLIA NUMBER - STEADFAST MOBILE HEALTHCARE

Laboratory Demographics

  • CLIA Code: 36D2165338
  • Facility Name: STEADFAST MOBILE HEALTHCARE
  • Facility Address: 7541 HICKORY KNOLL DR
    LIBERTY TOWNSHIP, OH
    ZIP 45044
  • Facility Phone: 513 847-1792
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHELLE KLEINMANN
  • NPI Number: 1689238388
  • Taxonomy: 363L00000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2165338
LAB Type Practitioner Other
Facility Name STEADFAST MOBILE HEALTHCARE
Street 7541 HICKORY KNOLL DR
City LIBERTY TOWNSHIP
State OH
ZIP 45044
Phone 513 847-1792
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2023
Certificate Expiration Date 4/24/2025
Facility Type Practitioner Other
Lab Director MICHELLE KLEINMANN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025