36D2324477 CLIA NUMBER - QUEEN CITY DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 36D2324477
  • Facility Name: QUEEN CITY DERMATOLOGY
  • Facility Address: 8350 E KEMPER ROAD, SUITE A
    CINCINNATI, OH
    ZIP 45249
  • Facility Phone: 513 202-3883
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KRISTINE B. ZITELLI
  • NPI Number: 1770476160
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 36D2324477
LAB Type Practitioner Other
Facility Name QUEEN CITY DERMATOLOGY
Street 8350 E KEMPER ROAD, SUITE A
City CINCINNATI
State OH
ZIP 45249
Phone 513 202-3883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Practitioner Other
Lab Director KRISTINE B. ZITELLI

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