36D2015241 CLIA NUMBER - EYE LASER AND SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 36D2015241
  • Facility Name: EYE LASER AND SURGERY CENTER LLC
  • Facility Address: 4235 INDIAN RIPPLE ROAD SUITE 110
    DAYTON, OH
    ZIP 45440
  • Facility Phone: 937 427-7800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRIAN R. STAHL
  • NPI Number: 1578881009
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2015241
LAB Type Ambulatory Surgery Center
Facility Name EYE LASER AND SURGERY CENTER LLC
Street 4235 INDIAN RIPPLE ROAD SUITE 110
City DAYTON
State OH
ZIP 45440
Phone 937 427-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Ambulatory Surgery Center
Lab Director BRIAN R. STAHL

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