36D2302584 CLIA NUMBER - GROUP HEALTH - MASON

Laboratory Demographics

  • CLIA Code: 36D2302584
  • Facility Name: GROUP HEALTH - MASON
  • Facility Address: 6010 MASON MONTGOMERY RD
    MASON, OH
    ZIP 45040
  • Facility Phone: 513 246-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HARRIS BALOCH
  • NPI Number: 1538174495
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2302584
LAB Type Physician Office
Facility Name GROUP HEALTH - MASON
Street 6010 MASON MONTGOMERY RD
City MASON
State OH
ZIP 45040
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