36D1096643 CLIA NUMBER - DAYTON PAIN CENTER

Laboratory Demographics

CLIA Number: 36D1096643

Facility Name: DAYTON PAIN CENTER

Facility Address:
1 ELIZABETH PLACE, SUITE D
DAYTON, OH
ZIP 45417
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Facility Phone Number: 937 222-2233

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1205349362

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D1096643
LAB Type	Physician Office
Facility Name	DAYTON PAIN CENTER
Street	1 ELIZABETH PLACE, SUITE D
City	DAYTON
State	OH
ZIP	45417
Phone	937 222-2233
CertificateType	1
CertificateEffectiveDate	2/12/2024
CertificateExpirationDate	2/11/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024