36D0348647 CLIA NUMBER - HYATT FAMILY CARE

Laboratory Demographics

  • CLIA Code: 36D0348647
  • Facility Name: HYATT FAMILY CARE
  • Facility Address: 450 NORTH HYATT SUITE 201/202
    TIPP CITY, OH
    ZIP 45371
  • Facility Phone: 937 669-9978
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANUPAMA S. KULKARNI
  • NPI Number: 1851490973
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0348647
LAB Type Physician Office
Facility Name HYATT FAMILY CARE
Street 450 NORTH HYATT SUITE 201/202
City TIPP CITY
State OH
ZIP 45371
Phone 937 669-9978
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 ANUPAMA S. KULKARNI

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