36D2292670 CLIA NUMBER - MIAMI VALLEY HOSPITAL AUSTIN BLVD ANCILLARY TESTING

Laboratory Demographics

  • CLIA Code: 36D2292670
  • Facility Name: MIAMI VALLEY HOSPITAL AUSTIN BLVD ANCILLARY TESTING
  • Facility Address: 300 AUSTIN BLVD WEST
    MIAMISBURG, OH
    ZIP 45342
  • Facility Phone: 937 297-8354
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: SERGEI GUMA
  • NPI Number: 1265787691
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D2292670
LAB Type Hospital
Facility Name MIAMI VALLEY HOSPITAL AUSTIN BLVD ANCILLARY TESTING
Street 300 AUSTIN BLVD WEST
City MIAMISBURG
State OH
ZIP 45342
Phone 937 297-8354
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Hospital
Lab Director SERGEI GUMA

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