36D0349629 CLIA NUMBER - SOUTH DAYTON PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 36D0349629
  • Facility Name: SOUTH DAYTON PEDIATRICS INC
  • Facility Address: 540 LINCOLN PARK BLVD SUITE 390
    KETTERING, OH
    ZIP 45429
  • Facility Phone: 937 296-1126
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SYLVIA PARKS
  • NPI Number: 1033243993
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D0349629
LAB Type Physician Office
Facility Name SOUTH DAYTON PEDIATRICS INC
Street 540 LINCOLN PARK BLVD SUITE 390
City KETTERING
State OH
ZIP 45429
Phone 937 296-1126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director DR. SYLVIA PARKS

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