36D0902028 CLIA NUMBER - REACH OUT OF MONTGOMERY COUNTY

Laboratory Demographics

  • CLIA Code: 36D0902028
  • Facility Name: REACH OUT OF MONTGOMERY COUNTY
  • Facility Address: 25 EAST FORAKER STREET
    DAYTON, OH
    ZIP 45409
  • Facility Phone: 937 258-2000
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JOHN M. CAMPBELL
  • NPI Number: 1053669499
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 36D0902028
LAB Type Community Clinic
Facility Name REACH OUT OF MONTGOMERY COUNTY
Street 25 EAST FORAKER STREET
City DAYTON
State OH
ZIP 45409
Phone 937 258-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Community Clinic
Lab Director JOHN M. CAMPBELL

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