36D2083034 CLIA NUMBER - DAYTON CENTER FOR NEUROLOGICAL DISORDERS

Laboratory Demographics

  • CLIA Code: 36D2083034
  • Facility Name: DAYTON CENTER FOR NEUROLOGICAL DISORDERS
  • Facility Address: 1975 MIAMISBURG CENTERVILLE ROAD
    CENTERVILLE, OH
    ZIP 45459
  • Facility Phone: 937 439-6186
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH B. PUGAR
  • NPI Number: 1750833760
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 36D2083034
LAB Type Physician Office
Facility Name DAYTON CENTER FOR NEUROLOGICAL DISORDERS
Street 1975 MIAMISBURG CENTERVILLE ROAD
City CENTERVILLE
State OH
ZIP 45459
Phone 937 439-6186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Physician Office
Lab Director KENNETH B. PUGAR

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