36D1071357 CLIA NUMBER - BULL FAMILY DIABETES CENTER

Laboratory Demographics

  • CLIA Code: 36D1071357
  • Facility Name: BULL FAMILY DIABETES CENTER
  • Facility Address: 400 SUGAR CAMP CIRCLE SUITE 205
    DAYTON, OH
    ZIP 45409
  • Facility Phone: 937 208-9090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIGUEL A. PARILO
  • NPI Number: 1760681712
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1071357
LAB Type Physician Office
Facility Name BULL FAMILY DIABETES CENTER
Street 400 SUGAR CAMP CIRCLE SUITE 205
City DAYTON
State OH
ZIP 45409
Phone 937 208-9090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director MIGUEL A. PARILO

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