36D2299465 CLIA NUMBER - PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY (PHDMC)

Laboratory Demographics

  • CLIA Code: 36D2299465
  • Facility Name: PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY (PHDMC)
  • Facility Address: 117 SOUTH MAIN STREET
    DAYTON, OH
    ZIP 45422
  • Facility Phone: (937) 496-7190
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: BECKY THOMAS
  • NPI Number: 1164702148
  • Taxonomy: 261QP0905X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2299465
LAB Type Mobile Laboratory
Facility Name PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY (PHDMC)
Street 117 SOUTH MAIN STREET
City DAYTON
State OH
ZIP 45422
Phone 9374967190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2026
Certificate Expiration Date 2/20/2028
Facility Type Mobile Laboratory
Lab Director BECKY THOMAS

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