36D2300637 CLIA NUMBER - TRIHEALTH DERMATOLOGY WESTERN RIDGE

Laboratory Demographics

  • CLIA Code: 36D2300637
  • Facility Name: TRIHEALTH DERMATOLOGY WESTERN RIDGE
  • Facility Address: 6949 GOOD SAMARITAN DRIVE 3RD FLOOR DERMATOLOGY
    CINCINNATI, OH
    ZIP 45247
  • Facility Phone: 513 246-7546
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANNA GRUBENHOFF
  • NPI Number: 1336458165
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2300637
LAB Type Physician Office
Facility Name TRIHEALTH DERMATOLOGY WESTERN RIDGE
Street 6949 GOOD SAMARITAN DRIVE 3RD FLOOR DERMATOLOGY
City CINCINNATI
State OH
ZIP 45247
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 ANNA GRUBENHOFF

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