36D1090611 CLIA NUMBER - MIAMI VALLEY HEALTH CENTER HUBER HEIGHTS

Laboratory Demographics

  • CLIA Code: 36D1090611
  • Facility Name: MIAMI VALLEY HEALTH CENTER HUBER HEIGHTS
  • Facility Address: 6251 MIAMI VALLEY WAY SUITE 140
    HUBER HEIGHTS, OH
    ZIP 45424
  • Facility Phone: 937 734-8073
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: THOMAS QUALTER III
  • NPI Number: 1831151927
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 36D1090611
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MIAMI VALLEY HEALTH CENTER HUBER HEIGHTS
Street 6251 MIAMI VALLEY WAY SUITE 140
City HUBER HEIGHTS
State OH
ZIP 45424
Phone 937 734-8073
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director THOMAS QUALTER III

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