36D0895609 CLIA NUMBER - TRI-COUNTY UROLOGY

Laboratory Demographics

  • CLIA Code: 36D0895609
  • Facility Name: TRI-COUNTY UROLOGY
  • Facility Address: 8934 KINGSRIDGE DR SUITE 102
    CENTERVILLE, OH
    ZIP 45458
  • Facility Phone: 937 439-6242
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN L. DONA
  • NPI Number: 1952445637
  • Taxonomy: 2088P0231X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 36D0895609
LAB Type Physician Office
Facility Name TRI-COUNTY UROLOGY
Street 8934 KINGSRIDGE DR SUITE 102
City CENTERVILLE
State OH
ZIP 45458
Phone 937 439-6242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Physician Office
Lab Director STEPHEN L. DONA

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