36D0348191 CLIA NUMBER - BELLBROOK FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 36D0348191
  • Facility Name: BELLBROOK FAMILY PRACTICE
  • Facility Address: 6438 WILMINGTON PIKE SUITE 110
    DAYTON, OH
    ZIP 45459
  • Facility Phone: 937 848-4121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUSTIN MURPHY
  • NPI Number: 1174627657
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0348191
LAB Type Physician Office
Facility Name BELLBROOK FAMILY PRACTICE
Street 6438 WILMINGTON PIKE SUITE 110
City DAYTON
State OH
ZIP 45459
Phone 937 848-4121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Physician Office
Lab Director JUSTIN MURPHY

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