36D2284807 CLIA NUMBER - GEM CITY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 36D2284807
  • Facility Name: GEM CITY PRIMARY CARE
  • Facility Address: 118 WEST 1ST STREET, STE 800
    DAYTON, OH
    ZIP 45402
  • Facility Phone: (937) 321-8698
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW R. NOORDSIJ-JONES
  • NPI Number: 1295410165
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2284807
LAB Type Physician Office
Facility Name GEM CITY PRIMARY CARE
Street 118 WEST 1ST STREET, STE 800
City DAYTON
State OH
ZIP 45402
Phone 9373218698
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Physician Office
Lab Director MATTHEW R. NOORDSIJ-JONES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026