36D0348262 CLIA NUMBER - SAMARITAN FAMILY CARE INC

Laboratory Demographics

  • CLIA Code: 36D0348262
  • Facility Name: SAMARITAN FAMILY CARE INC
  • Facility Address: 9000 N MAIN ST SUITE 300
    DAYTON, OH
    ZIP 45415
  • Facility Phone: 937 832-1500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: POLINA SADIKOV MD
  • NPI Number: 1134172661
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0348262
LAB Type Physician Office
Facility Name SAMARITAN FAMILY CARE INC
Street 9000 N MAIN ST SUITE 300
City DAYTON
State OH
ZIP 45415
Phone 937 832-1500
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 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director POLINA SADIKOV MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025