36D1071100 CLIA NUMBER - COMPUNET CLINICAL LABORATORIES MIAMI VALLEY HOSPITAL SOUTH

Laboratory Demographics

  • CLIA Code: 36D1071100
  • Facility Name: COMPUNET CLINICAL LABORATORIES MIAMI VALLEY HOSPITAL SOUTH
  • Facility Address: 2400 MIAMI VALLEY DRIVE
    CENTERVILLE, OH
    ZIP 45459
  • Facility Phone: 937 208-3572
  • Facility Type: Other
  • Facility Type: Accreditation
  • Lab Director: DR. ALAN L. PROK
  • NPI Number: 1245498633
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 36D1071100
LAB Type Other
Facility Name COMPUNET CLINICAL LABORATORIES MIAMI VALLEY HOSPITAL SOUTH
Street 2400 MIAMI VALLEY DRIVE
City CENTERVILLE
State OH
ZIP 45459
Phone 937 208-3572
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Other
Lab Director DR. ALAN L. PROK

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