36D2260948 CLIA NUMBER - COMPUNET CLINICAL LAB AT MIAMI VALLEY HOSPITAL

Laboratory Demographics

  • CLIA Code: 36D2260948
  • Facility Name: COMPUNET CLINICAL LAB AT MIAMI VALLEY HOSPITAL
  • Facility Address: 2400 LAKEVIEW DR, SUITE 150
    BEAVERCREEK, OH
    ZIP 45431
  • Facility Phone: 937 297-8354
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. SERGEI GUMA
  • NPI Number: 1699105130
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 36D2260948
LAB Type Independent
Facility Name COMPUNET CLINICAL LAB AT MIAMI VALLEY HOSPITAL
Street 2400 LAKEVIEW DR, SUITE 150
City BEAVERCREEK
State OH
ZIP 45431
Phone 937 297-8354
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Independent
Lab Director DR. SERGEI GUMA

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