36D2104786 CLIA NUMBER - WEST MAIN FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 36D2104786
  • Facility Name: WEST MAIN FAMILY PRACTICE LLC
  • Facility Address: 225-B W MAIN ST
    HILLSBORO, OH
    ZIP 45133
  • Facility Phone: 937 393-3300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID A. JAMIESON
  • NPI Number: 1730557307
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2104786
LAB Type Physician Office
Facility Name WEST MAIN FAMILY PRACTICE LLC
Street 225-B W MAIN ST
City HILLSBORO
State OH
ZIP 45133
Phone 937 393-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Physician Office
Lab Director DAVID A. JAMIESON

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