36D1096641 CLIA NUMBER - DAYTON PAIN CENTER

Laboratory Demographics

  • CLIA Code: 36D1096641
  • Facility Name: DAYTON PAIN CENTER
  • Facility Address: 331 6TH AVENUE
    SIDNEY, OH
    ZIP 45365
  • Facility Phone: 937 222-2233
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BHIMAVARAPU K. REDDY
  • NPI Number: 1417076803
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 36D1096641
LAB Type Physician Office
Facility Name DAYTON PAIN CENTER
Street 331 6TH AVENUE
City SIDNEY
State OH
ZIP 45365
Phone 937 222-2233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Physician Office
Lab Director BHIMAVARAPU K. REDDY

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