36D2003846 CLIA NUMBER - COVA OBGYN, LLC

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Laboratory Demographics

CLIA Number: 36D2003846

Facility Name: COVA OBGYN, LLC

Facility Address:
896 S MAIN ST
CENTERVILLE, OH
ZIP 45458
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Facility Phone Number: 937 433-6513

Facility Type: Practitioner Other

Certificate Type: Microscopy

NPI Number: 1689075863

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	36D2003846
LAB Type	Practitioner Other
Facility Name	COVA OBGYN, LLC
Street	896 S MAIN ST
City	CENTERVILLE
State	OH
ZIP	45458
Phone	937 433-6513
CertificateType	3
CertificateEffectiveDate	2/19/2024
CertificateExpirationDate	2/18/2026
FacilityType	PPMP

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