36D2119126 CLIA NUMBER - OHIO PEDIATRICS, INC

Laboratory Demographics

  • CLIA Code: 36D2119126
  • Facility Name: OHIO PEDIATRICS, INC
  • Facility Address: 1775 DELCO PARK DR
    KETTERING, OH
    ZIP 45420
  • Facility Phone: 937 299-2339
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WENDY L. BLUMBERG
  • NPI Number: 1619090750
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D2119126
LAB Type Physician Office
Facility Name OHIO PEDIATRICS, INC
Street 1775 DELCO PARK DR
City KETTERING
State OH
ZIP 45420
Phone 937 299-2339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director WENDY L. BLUMBERG

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