36D1071098 CLIA NUMBER - MIAMI VALLEY HOSPITAL S ANCILLARY TESTING

Laboratory Demographics

CLIA Number: 36D1071098

Facility Name: MIAMI VALLEY HOSPITAL S ANCILLARY TESTING

Facility Address:
2400 MIAMI VALLEY DRIVE
CENTERVILLE, OH
ZIP 45459
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Facility Phone Number: 937 438-2402

Facility Type: Other

Certificate Type: Microscopy

NPI Number: 1467774695

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 36D1071098
LAB Type Other
Facility Name MIAMI VALLEY HOSPITAL S ANCILLARY TESTING
Street 2400 MIAMI VALLEY DRIVE
City CENTERVILLE
State OH
ZIP 45459
Phone 937 438-2402
CertificateType 3
CertificateEffectiveDate 7/18/2023
CertificateExpirationDate 7/17/2025
FacilityType PPMP

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