36D2182430 CLIA NUMBER - TRI-STATE COMPOUNDING PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2182430
  • Facility Name: TRI-STATE COMPOUNDING PHARMACY
  • Facility Address: 7715 BEECHMONT AVE
    CINCINNATI, OH
    ZIP 45255
  • Facility Phone: 513 624-7333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHAD P. THOMPSON
  • NPI Number: 1275646499
  • Taxonomy: 3336C0004X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2182430
LAB Type Pharmacy
Facility Name TRI-STATE COMPOUNDING PHARMACY
Street 7715 BEECHMONT AVE
City CINCINNATI
State OH
ZIP 45255
Phone 513 624-7333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Pharmacy
Lab Director CHAD P. THOMPSON

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