36D0897179 CLIA NUMBER - PREMIER HEALTH PRIMARY CARE STANFIELD

Laboratory Demographics

  • CLIA Code: 36D0897179
  • Facility Name: PREMIER HEALTH PRIMARY CARE STANFIELD
  • Facility Address: 65 SOUTH STANFIELD ROAD
    TROY, OH
    ZIP 45373
  • Facility Phone: 937 335-2628
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRADIP M. VYAS
  • NPI Number: 1023129103
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0897179
LAB Type Physician Office
Facility Name PREMIER HEALTH PRIMARY CARE STANFIELD
Street 65 SOUTH STANFIELD ROAD
City TROY
State OH
ZIP 45373
Phone 937 335-2628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director PRADIP M. VYAS

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