36D2185528 CLIA NUMBER - BRIGHTVIEW, LLC - MASON

Laboratory Demographics

  • CLIA Code: 36D2185528
  • Facility Name: BRIGHTVIEW, LLC - MASON
  • Facility Address: 4483 NORTH ROUTE 42
    MASON, OH
    ZIP 45040
  • Facility Phone: 513 834-7063
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEANA KIMES
  • NPI Number: 1396340667
  • Taxonomy: 207RA0401X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2185528
LAB Type Physician Office
Facility Name BRIGHTVIEW, LLC - MASON
Street 4483 NORTH ROUTE 42
City MASON
State OH
ZIP 45040
Phone 513 834-7063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director DEANA KIMES

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This page was last updated on: 6/4/2025