36D0942091 CLIA NUMBER - PRIMARY CARE INTERNISTS, INC

Laboratory Demographics

  • CLIA Code: 36D0942091
  • Facility Name: PRIMARY CARE INTERNISTS, INC
  • Facility Address: 3006 N COUNTY RD 25A, SUITE 106
    TROY, OH
    ZIP 45373
  • Facility Phone: 937 778-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT W. SWABB
  • NPI Number: 1760582563
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0942091
LAB Type Physician Office
Facility Name PRIMARY CARE INTERNISTS, INC
Street 3006 N COUNTY RD 25A, SUITE 106
City TROY
State OH
ZIP 45373
Phone 937 778-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Physician Office
Lab Director SCOTT W. SWABB

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