36D2302726 CLIA NUMBER - TRIHEALTH H, LLC

Laboratory Demographics

  • CLIA Code: 36D2302726
  • Facility Name: TRIHEALTH H, LLC
  • Facility Address: 6010 MASON-MONTGOMERY ROAD 2ND FLOOR
    MASON, OH
    ZIP 45040
  • Facility Phone: 513 853-9250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VENKATA MUDDANA
  • NPI Number: 1932409661
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2302726
LAB Type Physician Office
Facility Name TRIHEALTH H, LLC
Street 6010 MASON-MONTGOMERY ROAD 2ND FLOOR
City MASON
State OH
ZIP 45040
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