36D2163060 CLIA NUMBER - CHILDREN'S HEALTH PAVILION

Laboratory Demographics

CLIA Number: 36D2163060

Facility Name: CHILDREN'S HEALTH PAVILION

Facility Address:
1010 VALLEY STREET
DAYTON, OH
ZIP 45404
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Facility Phone Number: 937 641-8458

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1306904503

Taxonomy: 207PP0204X - Emergency Medicine
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

CLIA Record

Field Name	Field Value
CLIA Number	36D2163060
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	CHILDREN'S HEALTH PAVILION
Street	1010 VALLEY STREET
City	DAYTON
State	OH
ZIP	45404
Phone	937 641-8458
CertificateType	4
CertificateEffectiveDate	3/6/2023
CertificateExpirationDate	3/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024