36D2283037 CLIA NUMBER - DIRECT ACCESS PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 36D2283037
  • Facility Name: DIRECT ACCESS PRIMARY CARE
  • Facility Address: 431 OHIO PIKE, SUITE 223
    CINCINNATI, OH
    ZIP 45255
  • Facility Phone: 513 951-3077
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHAEL K. HANSON
  • NPI Number: 1518668805
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 36D2283037
LAB Type Practitioner Other
Facility Name DIRECT ACCESS PRIMARY CARE
Street 431 OHIO PIKE, SUITE 223
City CINCINNATI
State OH
ZIP 45255
Phone 513 951-3077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Practitioner Other
Lab Director MICHAEL K. HANSON

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