36D2178395 CLIA NUMBER - TRIHEALTH CLINIC AT WALGREENS DEER PARK

Laboratory Demographics

  • CLIA Code: 36D2178395
  • Facility Name: TRIHEALTH CLINIC AT WALGREENS DEER PARK
  • Facility Address: 4090 E GALBRAITH RD
    DEER PARK, OH
    ZIP 45236
  • Facility Phone: 513 853-9700
  • Facility Type: Other - RETAIL CLINIC
  • Facility Type: Waiver
  • Lab Director: MATTHEW DAGGY
  • NPI Number: 1063540763
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2178395
LAB Type Other - RETAIL CLINIC
Facility Name TRIHEALTH CLINIC AT WALGREENS DEER PARK
Street 4090 E GALBRAITH RD
City DEER PARK
State OH
ZIP 45236
Phone 513 853-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Other - RETAIL CLINIC
Lab Director MATTHEW DAGGY

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