36D1018332 CLIA NUMBER - DCR SURGERY CENTER

Laboratory Demographics

CLIA Number: 36D1018332

Facility Name: DCR SURGERY CENTER

Facility Address:
245 WEST ELMWOOD DR, SUITE 100
CENTERVILLE, OH
ZIP 45459
Get Directions

Facility Phone Number: 937 938-6484

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1174571970

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	10/20/2023
CertificateExpirationDate	10/19/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024