36D0348549 CLIA NUMBER - MIAMI COUNTY SURGEONS

Laboratory Demographics

  • CLIA Code: 36D0348549
  • Facility Name: MIAMI COUNTY SURGEONS
  • Facility Address: 3130 N COUNTY RD 25A STE 214
    TROY, OH
    ZIP 45373
  • Facility Phone: 937 773-4123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICK A. LARREATEGUI
  • NPI Number: 1790778116
  • Taxonomy: 208600000X - Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0348549
LAB Type Physician Office
Facility Name MIAMI COUNTY SURGEONS
Street 3130 N COUNTY RD 25A STE 214
City TROY
State OH
ZIP 45373
Phone 937 773-4123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director PATRICK A. LARREATEGUI

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: 9/29/2025