36D1018332 CLIA NUMBER - DCR SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 36D1018332
  • Facility Name: DCR SURGERY CENTER
  • Facility Address: 245 WEST ELMWOOD DR, SUITE 100
    CENTERVILLE, OH
    ZIP 45459
  • Facility Phone: 937 938-6484
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ABDUL SHAHID
  • NPI Number: 1174571970
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1018332
LAB Type Ambulatory Surgery Center
Facility Name DCR SURGERY CENTER
Street 245 WEST ELMWOOD DR, SUITE 100
City CENTERVILLE
State OH
ZIP 45459
Phone 937 938-6484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Ambulatory Surgery Center
Lab Director ABDUL SHAHID

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