36D2176026 CLIA NUMBER - FAR HILLS OB/GYN

Laboratory Demographics

  • CLIA Code: 36D2176026
  • Facility Name: FAR HILLS OB/GYN
  • Facility Address: 5692 FAR HILLS AVENUE, SUITE 1A
    DAYTON, OH
    ZIP 45429
  • Facility Phone: 937 435-6222
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KELLY MCCLUSKEY ERSKINE
  • NPI Number: 1962602680
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D2176026
LAB Type Physician Office
Facility Name FAR HILLS OB/GYN
Street 5692 FAR HILLS AVENUE, SUITE 1A
City DAYTON
State OH
ZIP 45429
Phone 937 435-6222
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director KELLY MCCLUSKEY ERSKINE

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