36D0033865 CLIA NUMBER - CENTRAL STATE UNIVERSITY STUDENT HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 36D0033865
  • Facility Name: CENTRAL STATE UNIVERSITY STUDENT HEALTH SERVICES
  • Facility Address: 1400 BRUSH ROW ROAD HEALTH CENTER
    WILBERFORCE, OH
    ZIP 45384
  • Facility Phone: 937 376-6134
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: KAREN M. MATHEWS
  • NPI Number: 1871057992
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0033865
LAB Type School/Student Health Service
Facility Name CENTRAL STATE UNIVERSITY STUDENT HEALTH SERVICES
Street 1400 BRUSH ROW ROAD HEALTH CENTER
City WILBERFORCE
State OH
ZIP 45384
Phone 937 376-6134
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type School/Student Health Service
Lab Director KAREN M. MATHEWS

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