36D2296357 CLIA NUMBER - MIAMI VALLEY HOSPITAL URGENT CARE

Laboratory Demographics

  • CLIA Code: 36D2296357
  • Facility Name: MIAMI VALLEY HOSPITAL URGENT CARE
  • Facility Address: 2649 SALEM AVE, SUITE 500
    DAYTON, OH
    ZIP 45406
  • Facility Phone: 937 734-6440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAX A. PULFER
  • NPI Number: 1043478654
  • Taxonomy: 208M00000X - Hospitalist

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CLIA Record

Field Name Field Value
CLIA Number 36D2296357
LAB Type Physician Office
Facility Name MIAMI VALLEY HOSPITAL URGENT CARE
Street 2649 SALEM AVE, SUITE 500
City DAYTON
State OH
ZIP 45406
Phone 937 734-6440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Physician Office
Lab Director MAX A. PULFER

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This page was last updated on: 6/4/2025