36D0034023 CLIA NUMBER - CENTERVILLE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 36D0034023
  • Facility Name: CENTERVILLE FAMILY MEDICINE
  • Facility Address: 2350 MIAMI VALLEY DRIVE SUITE 530
    CENTERVILLE, OH
    ZIP 45459
  • Facility Phone: 937 435-3546
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL W. BRAMMER MD
  • NPI Number: 1659323467
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0034023
LAB Type Physician Office
Facility Name CENTERVILLE FAMILY MEDICINE
Street 2350 MIAMI VALLEY DRIVE SUITE 530
City CENTERVILLE
State OH
ZIP 45459
Phone 937 435-3546
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 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director PAUL W. BRAMMER MD

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