36D1002930 CLIA NUMBER - MIDWEST CLINICAL RESEARCH CENTER

Laboratory Demographics

  • CLIA Code: 36D1002930
  • Facility Name: MIDWEST CLINICAL RESEARCH CENTER
  • Facility Address: 1 ELIZABETH PLACE, SUITE G3, SOUTH BUILDING
    DAYTON, OH
    ZIP 45417
  • Facility Phone: 937 424-1050
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: NICOLETA STOICEA
  • NPI Number: 1548080526
  • Taxonomy: 261QR1100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1002930
LAB Type Ambulance
Facility Name MIDWEST CLINICAL RESEARCH CENTER
Street 1 ELIZABETH PLACE, SUITE G3, SOUTH BUILDING
City DAYTON
State OH
ZIP 45417
Phone 937 424-1050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Ambulance
Lab Director NICOLETA STOICEA

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