36D2011727 CLIA NUMBER - DIGESTIVECARE, LLC

Laboratory Demographics

  • CLIA Code: 36D2011727
  • Facility Name: DIGESTIVECARE, LLC
  • Facility Address: 75 SYLVANIA DRIVE
    BEAVERCREEK, OH
    ZIP 45440
  • Facility Phone: 937 320-5050
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NIAZ USMAN
  • NPI Number: 1306808001
  • Taxonomy: 207RG0100X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2011727
LAB Type Ambulatory Surgery Center
Facility Name DIGESTIVECARE, LLC
Street 75 SYLVANIA DRIVE
City BEAVERCREEK
State OH
ZIP 45440
Phone 937 320-5050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Ambulatory Surgery Center
Lab Director NIAZ USMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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