36D2302716 CLIA NUMBER - TRIHEALTH H, LLC

Laboratory Demographics

  • CLIA Code: 36D2302716
  • Facility Name: TRIHEALTH H, LLC
  • Facility Address: 110 N POPLAR STREET, SUITE 2 2ND FLOOR PHYSICIAN
    OXFORD, OH
    ZIP 45056
  • Facility Phone: 513 853-9250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VENKATA MUDDANA
  • NPI Number: 1063846095
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 36D2302716
LAB Type Physician Office
Facility Name TRIHEALTH H, LLC
Street 110 N POPLAR STREET, SUITE 2 2ND FLOOR PHYSICIAN
City OXFORD
State OH
ZIP 45056
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