36D1075684 CLIA NUMBER - DIGESTIVE ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 36D1075684
  • Facility Name: DIGESTIVE ENDOSCOPY CENTER LLC
  • Facility Address: 77 WEST ELEANOR DRIVE SUITE 2
    SPRINGBORO, OH
    ZIP 45066
  • Facility Phone: 937 534-7330
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAJKAMAL JIT
  • NPI Number: 1144416587
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1075684
LAB Type Ambulatory Surgery Center
Facility Name DIGESTIVE ENDOSCOPY CENTER LLC
Street 77 WEST ELEANOR DRIVE SUITE 2
City SPRINGBORO
State OH
ZIP 45066
Phone 937 534-7330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Ambulatory Surgery Center
Lab Director RAJKAMAL JIT

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