36D2168226 CLIA NUMBER - DONOHOO PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 36D2168226
  • Facility Name: DONOHOO PRIMARY CARE LLC
  • Facility Address: 415 HOME STREET
    GEORGETOWN, OH
    ZIP 45121
  • Facility Phone: 937 378-1008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY S. DONOHOO
  • NPI Number: 1528628773
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2168226
LAB Type Physician Office
Facility Name DONOHOO PRIMARY CARE LLC
Street 415 HOME STREET
City GEORGETOWN
State OH
ZIP 45121
Phone 937 378-1008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director JEFFREY S. DONOHOO

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