36D2252290 CLIA NUMBER - TRI STATE UROLOGICAL SERVICES

Laboratory Demographics

  • CLIA Code: 36D2252290
  • Facility Name: TRI STATE UROLOGICAL SERVICES
  • Facility Address: 2449 ROSS MILLVILLE RD STE 265
    HAMILTON, OH
    ZIP 45013
  • Facility Phone: 513 841-7900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW A. LOVE
  • NPI Number: 1740357656
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 36D2252290
LAB Type Physician Office
Facility Name TRI STATE UROLOGICAL SERVICES
Street 2449 ROSS MILLVILLE RD STE 265
City HAMILTON
State OH
ZIP 45013
Phone 513 841-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Physician Office
Lab Director MATTHEW A. LOVE

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