36D2302710 CLIA NUMBER - TRIHEALTH H, LLC

Laboratory Demographics

  • CLIA Code: 36D2302710
  • Facility Name: TRIHEALTH H, LLC
  • Facility Address: 100 ARROW SPRINGS BLVD, SUITE 2700
    LEBANON, OH
    ZIP 45036
  • Facility Phone: 513 853-9250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VENKATA MUDDANA
  • NPI Number: 1881631513
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2302710
LAB Type Physician Office
Facility Name TRIHEALTH H, LLC
Street 100 ARROW SPRINGS BLVD, SUITE 2700
City LEBANON
State OH
ZIP 45036
Phone 513 853-9250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Physician Office
Lab Director VENKATA MUDDANA

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