36D2098737 CLIA NUMBER - HEARTLAND THERAPEUTICS

Laboratory Demographics

  • CLIA Code: 36D2098737
  • Facility Name: HEARTLAND THERAPEUTICS
  • Facility Address: 8658 NORTH MAIN STREET
    DAYTON, OH
    ZIP 45415
  • Facility Phone: 937 701-0030
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ABDULLAHI I. MUBARAK
  • NPI Number: 1538548391
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2098737
LAB Type Physician Office
Facility Name HEARTLAND THERAPEUTICS
Street 8658 NORTH MAIN STREET
City DAYTON
State OH
ZIP 45415
Phone 937 701-0030
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 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director ABDULLAHI I. MUBARAK

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