36D2284732 CLIA NUMBER - PREMIER SURGICAL INSTITUTE

Laboratory Demographics

  • CLIA Code: 36D2284732
  • Facility Name: PREMIER SURGICAL INSTITUTE
  • Facility Address: 1303 MATTEC DR
    LOVELAND, OH
    ZIP 45140
  • Facility Phone: 513 982-4774
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. DANKO
  • NPI Number: 1497400790
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2284732
LAB Type Ambulatory Surgery Center
Facility Name PREMIER SURGICAL INSTITUTE
Street 1303 MATTEC DR
City LOVELAND
State OH
ZIP 45140
Phone 513 982-4774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL D. DANKO

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