36D0975028 CLIA NUMBER - DULAN AND MOORE DULAN FAMILY WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 36D0975028
  • Facility Name: DULAN AND MOORE DULAN FAMILY WELLNESS CENTER
  • Facility Address: 1000 COLUMBUS AVE ATTN OFFICE MANAGER
    LEBANON, OH
    ZIP 45036
  • Facility Phone: 513 932-7951
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL B. DULAN
  • NPI Number: 1851721856
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0975028
LAB Type Physician Office
Facility Name DULAN AND MOORE DULAN FAMILY WELLNESS CENTER
Street 1000 COLUMBUS AVE ATTN OFFICE MANAGER
City LEBANON
State OH
ZIP 45036
Phone 513 932-7951
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 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Physician Office
Lab Director MICHAEL B. DULAN

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