36D2324134 CLIA NUMBER - CINCINNATI CHILDRENS IDEA GREATER CINCINNATI - VALLEY VIEW

Laboratory Demographics

  • CLIA Code: 36D2324134
  • Facility Name: CINCINNATI CHILDRENS IDEA GREATER CINCINNATI - VALLEY VIEW
  • Facility Address: 1011 GLENDALE MILFORD ROAD
    CINCINNATI, OH
    ZIP 45215
  • Facility Phone: 513 636-4200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONA MANSOUR
  • NPI Number: 1013018753
  • Taxonomy: 111NR0400X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 36D2324134
LAB Type Physician Office
Facility Name CINCINNATI CHILDRENS IDEA GREATER CINCINNATI - VALLEY VIEW
Street 1011 GLENDALE MILFORD ROAD
City CINCINNATI
State OH
ZIP 45215
Phone 513 636-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director MONA MANSOUR

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