36D2145475 CLIA NUMBER - OMNI WELLNESS GROUP, LLC

Laboratory Demographics

  • CLIA Code: 36D2145475
  • Facility Name: OMNI WELLNESS GROUP, LLC
  • Facility Address: 1149 EXPERIMENT FARM ROAD
    TROY, OH
    ZIP 45373
  • Facility Phone: 937 540-9920
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA RAMIREZ
  • NPI Number: 1861982423
  • Taxonomy: 363LP0808X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2145475
LAB Type Physician Office
Facility Name OMNI WELLNESS GROUP, LLC
Street 1149 EXPERIMENT FARM ROAD
City TROY
State OH
ZIP 45373
Phone 937 540-9920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Physician Office
Lab Director REBECCA RAMIREZ

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