36D2302553 CLIA NUMBER - GROUP HEALTH - WEST CHESTER

Laboratory Demographics

  • CLIA Code: 36D2302553
  • Facility Name: GROUP HEALTH - WEST CHESTER
  • Facility Address: 8040 PRINCETON-GLENDALE RD
    WEST CHESTER, OH
    ZIP 45069
  • Facility Phone: 513 246-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HARRIS BALOCH
  • NPI Number: 1518097906
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2302553
LAB Type Physician Office
Facility Name GROUP HEALTH - WEST CHESTER
Street 8040 PRINCETON-GLENDALE RD
City WEST CHESTER
State OH
ZIP 45069
Phone 513 246-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Physician Office
Lab Director HARRIS BALOCH

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