36D2216875 CLIA NUMBER - PREMIER COMMUNITY HEALTH DBA PREMIER OCCUPATIONAL HEALTH

Laboratory Demographics

  • CLIA Code: 36D2216875
  • Facility Name: PREMIER COMMUNITY HEALTH DBA PREMIER OCCUPATIONAL HEALTH
  • Facility Address: 998 S DORSET RD
    TROY, OH
    ZIP 45373
  • Facility Phone: 937 208-7358
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAM LYONS
  • NPI Number: 1477070985
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2216875
LAB Type Physician Office
Facility Name PREMIER COMMUNITY HEALTH DBA PREMIER OCCUPATIONAL HEALTH
Street 998 S DORSET RD
City TROY
State OH
ZIP 45373
Phone 937 208-7358
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Physician Office
Lab Director PAM LYONS

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