36D1063468 CLIA NUMBER - UPPER VALLEY FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 36D1063468
  • Facility Name: UPPER VALLEY FAMILY MEDICINE
  • Facility Address: 31 S STANFIELD ROAD, SUITE 301
    TROY, OH
    ZIP 45373
  • Facility Phone: 937 339-1518
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHRYN E. LORENZ
  • NPI Number: 1710115548
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1063468
LAB Type Physician Office
Facility Name UPPER VALLEY FAMILY MEDICINE
Street 31 S STANFIELD ROAD, SUITE 301
City TROY
State OH
ZIP 45373
Phone 937 339-1518
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Physician Office
Lab Director KATHRYN E. LORENZ

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