36D2286834 CLIA NUMBER - VERTRAE

Laboratory Demographics

  • CLIA Code: 36D2286834
  • Facility Name: VERTRAE
  • Facility Address: 4501 LYONS ROAD
    MIAMISBURG, OH
    ZIP 45342
  • Facility Phone: 844 255-2225
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KAMAL R. WOODS
  • NPI Number: 1831881135
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2286834
LAB Type Ambulatory Surgery Center
Facility Name VERTRAE
Street 4501 LYONS ROAD
City MIAMISBURG
State OH
ZIP 45342
Phone 844 255-2225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Ambulatory Surgery Center
Lab Director KAMAL R. WOODS

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