36D1005140 CLIA NUMBER - DIGESTIVE SPECIALISTS INC

Laboratory Demographics

  • CLIA Code: 36D1005140
  • Facility Name: DIGESTIVE SPECIALISTS INC
  • Facility Address: 1530 NEEDMORE ROAD SUITE 101
    DAYTON, OH
    ZIP 45414
  • Facility Phone: 937 396-2600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJKAMAL JIT
  • NPI Number: 1194790808
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1005140
LAB Type Physician Office
Facility Name DIGESTIVE SPECIALISTS INC
Street 1530 NEEDMORE ROAD SUITE 101
City DAYTON
State OH
ZIP 45414
Phone 937 396-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director RAJKAMAL JIT

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