36D0902629 CLIA NUMBER - PREMIER HEALTH PEDIATRICS HUBER HEIGHTS

Laboratory Demographics

  • CLIA Code: 36D0902629
  • Facility Name: PREMIER HEALTH PEDIATRICS HUBER HEIGHTS
  • Facility Address: 6251 MIAMI VALLEY WAY SUITE 210C
    HUBER HEIGHTS, OH
    ZIP 45424
  • Facility Phone: 937 233-3910
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AMY K. JONES
  • NPI Number: 1992724199
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0902629
LAB Type Physician Office
Facility Name PREMIER HEALTH PEDIATRICS HUBER HEIGHTS
Street 6251 MIAMI VALLEY WAY SUITE 210C
City HUBER HEIGHTS
State OH
ZIP 45424
Phone 937 233-3910
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 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Physician Office
Lab Director AMY K. JONES

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