36D2000155 CLIA NUMBER - A REZA MIREMADI MD DDS LLC

Laboratory Demographics

  • CLIA Code: 36D2000155
  • Facility Name: A REZA MIREMADI MD DDS LLC
  • Facility Address: 576 NORTH MAIN STREET
    SPRINGBORO, OH
    ZIP 45066
  • Facility Phone: 937 748-8814
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ABDOL R. MIREMADI
  • NPI Number: 1053597930
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 36D2000155
LAB Type Physician Office
Facility Name A REZA MIREMADI MD DDS LLC
Street 576 NORTH MAIN STREET
City SPRINGBORO
State OH
ZIP 45066
Phone 937 748-8814
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Physician Office
Lab Director DR. ABDOL R. MIREMADI

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