36D2262668 CLIA NUMBER - DAYTON CHILDREN'S HEALTH AND WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 36D2262668
  • Facility Name: DAYTON CHILDREN'S HEALTH AND WELLNESS CLINIC
  • Facility Address: 600 BUCKSKIN TRAIL
    XENIA, OH
    ZIP 45385
  • Facility Phone: 937 641-4623
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TODD J. BOYD
  • NPI Number: 1225192610
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 36D2262668
LAB Type Community Clinic
Facility Name DAYTON CHILDREN'S HEALTH AND WELLNESS CLINIC
Street 600 BUCKSKIN TRAIL
City XENIA
State OH
ZIP 45385
Phone 937 641-4623
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Community Clinic
Lab Director TODD J. BOYD

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