36D2186597 CLIA NUMBER - MARATHON MEDICAL

Laboratory Demographics

  • CLIA Code: 36D2186597
  • Facility Name: MARATHON MEDICAL
  • Facility Address: 539 WINDSOR PARK DR
    DAYTON, OH
    ZIP 45459
  • Facility Phone: 937 589-2277
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW C. MUELLER
  • NPI Number: 1326657495
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 36D2186597
LAB Type Physician Office
Facility Name MARATHON MEDICAL
Street 539 WINDSOR PARK DR
City DAYTON
State OH
ZIP 45459
Phone 937 589-2277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Physician Office
Lab Director MATTHEW C. MUELLER

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