36D2130646 CLIA NUMBER - JENNIFER A SMITH OB/GYN LLC

Laboratory Demographics

  • CLIA Code: 36D2130646
  • Facility Name: JENNIFER A SMITH OB/GYN LLC
  • Facility Address: 1 WYOMING STREET SUITE 4110
    DAYTON, OH
    ZIP 45409
  • Facility Phone: 937 208-5665
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JENNIFER A. SMITH
  • NPI Number: 1588264204
  • Taxonomy: 171W00000X - Contractor

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CLIA Record

Field Name Field Value
CLIA Number 36D2130646
LAB Type Physician Office
Facility Name JENNIFER A SMITH OB/GYN LLC
Street 1 WYOMING STREET SUITE 4110
City DAYTON
State OH
ZIP 45409
Phone 937 208-5665
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 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Physician Office
Lab Director JENNIFER A. SMITH

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