36D2207845 CLIA NUMBER - VENISTAT MOBILE PHLEBOTOMY LLC

Laboratory Demographics

  • CLIA Code: 36D2207845
  • Facility Name: VENISTAT MOBILE PHLEBOTOMY LLC
  • Facility Address: 221 OUTER BELLE RD SUITE A
    DAYTON, OH
    ZIP 45426
  • Facility Phone: 937 307-9639
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ANDREA M. PHELPS
  • NPI Number: 1346835824
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 36D2207845
LAB Type Mobile Laboratory
Facility Name VENISTAT MOBILE PHLEBOTOMY LLC
Street 221 OUTER BELLE RD SUITE A
City DAYTON
State OH
ZIP 45426
Phone 937 307-9639
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Mobile Laboratory
Lab Director ANDREA M. PHELPS

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