36D2151478 CLIA NUMBER - PREMIER HEALTH URGENT CARE - TROY

Laboratory Demographics

  • CLIA Code: 36D2151478
  • Facility Name: PREMIER HEALTH URGENT CARE - TROY
  • Facility Address: 1843 WEST MAIN ST
    TROY, OH
    ZIP 45373
  • Facility Phone: 937 208-4100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY S. PENNY
  • NPI Number: 1083955678
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2151478
LAB Type Physician Office
Facility Name PREMIER HEALTH URGENT CARE - TROY
Street 1843 WEST MAIN ST
City TROY
State OH
ZIP 45373
Phone 937 208-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director JEFFREY S. PENNY

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