36D2322494 CLIA NUMBER - CARY COPELAND, DPM INC

Laboratory Demographics

  • CLIA Code: 36D2322494
  • Facility Name: CARY COPELAND, DPM INC
  • Facility Address: 4260 GLENDALE MILFORD ROAD, 100
    BLUE ASH, OH
    ZIP 45242
  • Facility Phone: 513 769-4408
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOMINIC RIZZO
  • NPI Number: 1679558258
  • Taxonomy: 213ES0103X - Podiatrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2322494
LAB Type Physician Office
Facility Name CARY COPELAND, DPM INC
Street 4260 GLENDALE MILFORD ROAD, 100
City BLUE ASH
State OH
ZIP 45242
Phone 513 769-4408
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Physician Office
Lab Director DOMINIC RIZZO

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