36D0350269 CLIA NUMBER - PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD

Laboratory Demographics

  • CLIA Code: 36D0350269
  • Facility Name: PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD
  • Facility Address: 6551 CENTERVILLE BUSINESS PARKWAY
    DAYTON, OH
    ZIP 45459
  • Facility Phone: 937 291-6830
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZACH D. LIAPIS
  • NPI Number: 1013975465
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0350269
LAB Type Physician Office
Facility Name PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD
Street 6551 CENTERVILLE BUSINESS PARKWAY
City DAYTON
State OH
ZIP 45459
Phone 937 291-6830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Physician Office
Lab Director ZACH D. LIAPIS

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