36D2300586 CLIA NUMBER - TRIHEALTH DERMATOLOGY MASON

Laboratory Demographics

  • CLIA Code: 36D2300586
  • Facility Name: TRIHEALTH DERMATOLOGY MASON
  • Facility Address: 6010 MASON MONTGOMERY RD
    MASON, OH
    ZIP 45040
  • Facility Phone: 513 246-7546
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ASMA ANSARI
  • NPI Number: 1992050223
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 36D2300586
LAB Type Physician Office
Facility Name TRIHEALTH DERMATOLOGY MASON
Street 6010 MASON MONTGOMERY RD
City MASON
State OH
ZIP 45040
Phone 513 246-7546
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Physician Office
Lab Director ASMA ANSARI

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