36D2188009 CLIA NUMBER - DEDICATED SENIOR MEDICAL CENTER MT AIRY

Laboratory Demographics

  • CLIA Code: 36D2188009
  • Facility Name: DEDICATED SENIOR MEDICAL CENTER MT AIRY
  • Facility Address: 6121 COLERAIN AVENUE
    CINCINNATI, OH
    ZIP 45239
  • Facility Phone: 305 842-3910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GORDON CHEN
  • NPI Number: 1407475643
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 36D2188009
LAB Type Physician Office
Facility Name DEDICATED SENIOR MEDICAL CENTER MT AIRY
Street 6121 COLERAIN AVENUE
City CINCINNATI
State OH
ZIP 45239
Phone 305 842-3910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Physician Office
Lab Director GORDON CHEN

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