36D1007721 CLIA NUMBER - CORNERSTONE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 36D1007721
  • Facility Name: CORNERSTONE PEDIATRICS LLC
  • Facility Address: 3333 W TECH RD, SUITE 220
    MIAMISBURG, OH
    ZIP 45342
  • Facility Phone: 937 885-4475
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREG M. EBERHART MD
  • NPI Number: 1033254222
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D1007721
LAB Type Physician Office
Facility Name CORNERSTONE PEDIATRICS LLC
Street 3333 W TECH RD, SUITE 220
City MIAMISBURG
State OH
ZIP 45342
Phone 937 885-4475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director GREG M. EBERHART MD

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