36D2259261 CLIA NUMBER - HERITAGE BUTLER FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 36D2259261
  • Facility Name: HERITAGE BUTLER FAMILY PHYSICIANS
  • Facility Address: 3145 HAMILTON MASON RD SUITE 300
    HAMILTON, OH
    ZIP 45011
  • Facility Phone: 513 936-6618
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS WILLKE
  • NPI Number: 1316119043
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2259261
LAB Type Physician Office
Facility Name HERITAGE BUTLER FAMILY PHYSICIANS
Street 3145 HAMILTON MASON RD SUITE 300
City HAMILTON
State OH
ZIP 45011
Phone 513 936-6618
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Physician Office
Lab Director THOMAS WILLKE

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