36D1039597 CLIA NUMBER - LUIS MORALES MD

Laboratory Demographics

  • CLIA Code: 36D1039597
  • Facility Name: LUIS MORALES MD
  • Facility Address: ONE WYOMING STREET SUITE 4110
    DAYTON, OH
    ZIP 45409
  • Facility Phone: 937 208-5665
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LUIS J. MORALES MD
  • NPI Number: 1265456537
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D1039597
LAB Type Physician Office
Facility Name LUIS MORALES MD
Street ONE WYOMING STREET SUITE 4110
City DAYTON
State OH
ZIP 45409
Phone 937 208-5665
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Physician Office
Lab Director LUIS J. MORALES MD

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