36D2307364 CLIA NUMBER - TRIHEALTH H LLC DBA CLINTON DIABETES CLINIC

Laboratory Demographics

  • CLIA Code: 36D2307364
  • Facility Name: TRIHEALTH H LLC DBA CLINTON DIABETES CLINIC
  • Facility Address: 630 W MAIN ST, SUITE 300
    WILMINGTON, OH
    ZIP 45177
  • Facility Phone: 513 569-1968
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. CHEYENNE GASAWAY
  • NPI Number: 1811975329
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 36D2307364
LAB Type Physician Office
Facility Name TRIHEALTH H LLC DBA CLINTON DIABETES CLINIC
Street 630 W MAIN ST, SUITE 300
City WILMINGTON
State OH
ZIP 45177
Phone 513 569-1968
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director MS. CHEYENNE GASAWAY

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