36D0349080 CLIA NUMBER - PRIMED PHYSICIANS HUBER HEIGHTS

Laboratory Demographics

  • CLIA Code: 36D0349080
  • Facility Name: PRIMED PHYSICIANS HUBER HEIGHTS
  • Facility Address: 8501 OLD TROY PIKE STE 120
    HUBER HEIGHTS, OH
    ZIP 45424
  • Facility Phone: 937 237-4945
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LINDA E. ODENIGBO
  • NPI Number: 1356308662
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D0349080
LAB Type Physician Office
Facility Name PRIMED PHYSICIANS HUBER HEIGHTS
Street 8501 OLD TROY PIKE STE 120
City HUBER HEIGHTS
State OH
ZIP 45424
Phone 937 237-4945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Physician Office
Lab Director LINDA E. ODENIGBO

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