36D2163060 CLIA NUMBER - CHILDREN'S HEALTH PAVILION

Laboratory Demographics

  • CLIA Code: 36D2163060
  • Facility Name: CHILDREN'S HEALTH PAVILION
  • Facility Address: 1010 VALLEY STREET
    DAYTON, OH
    ZIP 45404
  • Facility Phone: 937 641-8458
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JEFFREY T. BOYD
  • NPI Number: 1306904503
  • Taxonomy: 207PP0204X - Emergency Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JEFFREY T. BOYD

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