36D2188013 CLIA NUMBER - DEDICATED SENIOR MEDICAL CENTER GLENCROSSING WAY

Laboratory Demographics

  • CLIA Code: 36D2188013
  • Facility Name: DEDICATED SENIOR MEDICAL CENTER GLENCROSSING WAY
  • Facility Address: 5050 GLENCROSSING WAY
    CINCINNATI, OH
    ZIP 45238
  • Facility Phone: 305 842-3910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GORDON CHEN
  • NPI Number: 1215566658
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 36D2188013
LAB Type Physician Office
Facility Name DEDICATED SENIOR MEDICAL CENTER GLENCROSSING WAY
Street 5050 GLENCROSSING WAY
City CINCINNATI
State OH
ZIP 45238
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