36D0673883 CLIA NUMBER - KUNESH EYE SURGERY CENTER

Laboratory Demographics

CLIA Number: 36D0673883

Facility Name: KUNESH EYE SURGERY CENTER

Facility Address:
2601 FAR HILLS AVENUE
DAYTON, OH
ZIP 45419
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Facility Phone Number: 937 298-1093

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1326189499

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D0673883
LAB Type	Ambulatory Surgery Center
Facility Name	KUNESH EYE SURGERY CENTER
Street	2601 FAR HILLS AVENUE
City	DAYTON
State	OH
ZIP	45419
Phone	937 298-1093
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024