36D0920394 CLIA NUMBER - VALLEY REGIONAL SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 36D0920394
  • Facility Name: VALLEY REGIONAL SURGERY CENTER
  • Facility Address: 283 LOONEY ROAD PO BOX 914
    PIQUA, OH
    ZIP 45356
  • Facility Phone: 937 778-3848
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANITA COUCHOT RN
  • NPI Number: 1063492437
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0920394
LAB Type Ambulatory Surgery Center
Facility Name VALLEY REGIONAL SURGERY CENTER
Street 283 LOONEY ROAD PO BOX 914
City PIQUA
State OH
ZIP 45356
Phone 937 778-3848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Ambulatory Surgery Center
Lab Director ANITA COUCHOT RN

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