36D2308405 CLIA NUMBER - ROOTS WELLNESS

Laboratory Demographics

  • CLIA Code: 36D2308405
  • Facility Name: ROOTS WELLNESS
  • Facility Address: 969 READING RD, SUITE H
    MASON, OH
    ZIP 45040
  • Facility Phone: 513 317-0905
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: LAUREN K. SHANNON
  • NPI Number: 1740033083
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2308405
LAB Type Independent
Facility Name ROOTS WELLNESS
Street 969 READING RD, SUITE H
City MASON
State OH
ZIP 45040
Phone 513 317-0905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Independent
Lab Director LAUREN K. SHANNON

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