36D2007280 CLIA NUMBER - DAYTON PHYSICIANS LLC UROLOGY

Laboratory Demographics

  • CLIA Code: 36D2007280
  • Facility Name: DAYTON PHYSICIANS LLC UROLOGY
  • Facility Address: 2350 MIAMI VALLEY DRIVE SUITE 500
    CENTERVILLE, OH
    ZIP 45459
  • Facility Phone: 937 425-0003
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID W. KEY
  • NPI Number: 1265824874
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 36D2007280
LAB Type Physician Office
Facility Name DAYTON PHYSICIANS LLC UROLOGY
Street 2350 MIAMI VALLEY DRIVE SUITE 500
City CENTERVILLE
State OH
ZIP 45459
Phone 937 425-0003
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director DAVID W. KEY

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