36D1084061 CLIA NUMBER - NEUROLOGY DIAGNOSTICS INC

Laboratory Demographics

  • CLIA Code: 36D1084061
  • Facility Name: NEUROLOGY DIAGNOSTICS INC
  • Facility Address: 240 WEST ELMWOOD DRIVE STE 1000
    DAYTON, OH
    ZIP 45459
  • Facility Phone: 937 224-8200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOEL VANDERSLUIS
  • NPI Number: 1033162318
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 36D1084061
LAB Type Physician Office
Facility Name NEUROLOGY DIAGNOSTICS INC
Street 240 WEST ELMWOOD DRIVE STE 1000
City DAYTON
State OH
ZIP 45459
Phone 937 224-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director JOEL VANDERSLUIS

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This page was last updated on: 3/20/2025