36D2123201 CLIA NUMBER - PRIMED PHYSICIANS SPRINGBORO PEDIATRICS

Laboratory Demographics

  • CLIA Code: 36D2123201
  • Facility Name: PRIMED PHYSICIANS SPRINGBORO PEDIATRICS
  • Facility Address: 3333 WEST TECH ROAD, STE 120
    MIAMISBURG, OH
    ZIP 45342
  • Facility Phone: 937 748-6116
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHLEEN P. GIBBS
  • NPI Number: 1639136013
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2123201
LAB Type Physician Office
Facility Name PRIMED PHYSICIANS SPRINGBORO PEDIATRICS
Street 3333 WEST TECH ROAD, STE 120
City MIAMISBURG
State OH
ZIP 45342
Phone 937 748-6116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director KATHLEEN P. GIBBS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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