36D1002993 CLIA NUMBER - DIGESTIVE ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 36D1002993
  • Facility Name: DIGESTIVE ENDOSCOPY CENTER LLC
  • Facility Address: 5697 SHULL ROAD SUITE 100
    HUBER HEIGHTS, OH
    ZIP 45424
  • Facility Phone: 937 297-2205
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAJKAMAL JIT
  • NPI Number: 1699748087
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1002993
LAB Type Ambulatory Surgery Center
Facility Name DIGESTIVE ENDOSCOPY CENTER LLC
Street 5697 SHULL ROAD SUITE 100
City HUBER HEIGHTS
State OH
ZIP 45424
Phone 937 297-2205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Ambulatory Surgery Center
Lab Director RAJKAMAL JIT

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