36D0706584 CLIA NUMBER - UNIVERSITY MEDICAL SERVICES CEDARVILLE UNIVERSITY

Laboratory Demographics

  • CLIA Code: 36D0706584
  • Facility Name: UNIVERSITY MEDICAL SERVICES CEDARVILLE UNIVERSITY
  • Facility Address: 251 NORTH MAIN STREET
    CEDARVILLE, OH
    ZIP 45314
  • Facility Phone: 937 766-7862
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: MISTI M. GRIMSON
  • NPI Number: 1174680318
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0706584
LAB Type School/Student Health Service
Facility Name UNIVERSITY MEDICAL SERVICES CEDARVILLE UNIVERSITY
Street 251 NORTH MAIN STREET
City CEDARVILLE
State OH
ZIP 45314
Phone 937 766-7862
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type School/Student Health Service
Lab Director MISTI M. GRIMSON

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