36D0348293 CLIA NUMBER - PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD

Laboratory Demographics

  • CLIA Code: 36D0348293
  • Facility Name: PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD
  • Facility Address: 200 ROCKRIDGE RD
    ENGLEWOOD, OH
    ZIP 45322
  • Facility Phone: 937 836-9921
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLAIRE MCDOWELL
  • NPI Number: 1790749307
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D0348293
LAB Type Physician Office
Facility Name PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD
Street 200 ROCKRIDGE RD
City ENGLEWOOD
State OH
ZIP 45322
Phone 937 836-9921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Physician Office
Lab Director CLAIRE MCDOWELL

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