36D0721065 CLIA NUMBER - MIAMI COUNTY OB/GYN & ASSOCIATES

Laboratory Demographics

  • CLIA Code: 36D0721065
  • Facility Name: MIAMI COUNTY OB/GYN & ASSOCIATES
  • Facility Address: 1930 PRIME CT STE 105
    TROY, OH
    ZIP 45373
  • Facility Phone: 937 339-7982
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANIEL J. DILWORTH
  • NPI Number: 1548352859
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 36D0721065
LAB Type Physician Office
Facility Name MIAMI COUNTY OB/GYN & ASSOCIATES
Street 1930 PRIME CT STE 105
City TROY
State OH
ZIP 45373
Phone 937 339-7982
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 8/15/2023
Certificate Expiration Date 8/14/2025
Facility Type Physician Office
Lab Director DANIEL J. DILWORTH

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This page was last updated on: 6/4/2025