36D2316036 CLIA NUMBER - PATH OF GOODNESS

Laboratory Demographics

  • CLIA Code: 36D2316036
  • Facility Name: PATH OF GOODNESS
  • Facility Address: 2420 HARRISON AVENUE, SUITE 12
    CINCINNATI, OH
    ZIP 45211
  • Facility Phone: 513 407-3626
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TONYA EDMONDSON
  • NPI Number: 1770353096
  • Taxonomy: 363LP0808X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2316036
LAB Type Physician Office
Facility Name PATH OF GOODNESS
Street 2420 HARRISON AVENUE, SUITE 12
City CINCINNATI
State OH
ZIP 45211
Phone 513 407-3626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Physician Office
Lab Director TONYA EDMONDSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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